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AHIP AHM-520 Exam - Topic 1 Question 74 Discussion

For each of its products, the Wisteria Health Plan monitors the provider reimbursement trend and the residual trend. One true statement about these trends is that
D) An example of a residual trend would be a 5% increase in the capitation rate paid to a PCP by Wisteria
A) The provider reimbursement trend probably is more difficult for Wisteria to quantify than is the residual trend
B) Wisteria's residual trend is the difference between the total trend and the portion of the total trend caused by changes in Wisteria's provider reimbursement levels
C) The residual trend most likely has more impact on Wisteria's total trend than does the provider reimbursement trend

AHIP AHM-520 Exam - Topic 1 Question 74 Discussion

Actual exam question for AHIP's AHM-520 exam
Question #: 74
Topic #: 1
[All AHM-520 Questions]

For each of its products, the Wisteria Health Plan monitors the provider reimbursement trend and the residual trend. One true statement about these trends is that

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Suggested Answer: D

by Josephine at Sep 03, 2023, 07:20 PM

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Reta
8 months ago
D seems way off, that's not a residual trend example.
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Adrianna
9 months ago
B makes sense, residual trends are often overlooked.
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Shenika
9 months ago
Wait, is C really true? That sounds off.
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Joseph
9 months ago
I disagree, I think B is the right answer.
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Jeannetta
9 months ago
A is probably true, quantifying reimbursement can be tricky.
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Carman
10 months ago
I don't think a capitation rate increase is a residual trend; it seems more like a direct change in reimbursement. I might be mixing up the definitions.
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Solange
10 months ago
I feel like the residual trend is important, but I can't recall if it really has more impact than the provider reimbursement trend. That part is confusing.
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Lauran
10 months ago
I think option B sounds familiar because it relates to how we calculated trends in our practice questions, but I'm not entirely sure if it's worded correctly.
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Jade
10 months ago
I remember discussing how provider reimbursement trends can be tricky to measure since they depend on various factors like contracts and negotiations.
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Daniela
10 months ago
Option A seems like the easiest solution, just giving the auditor's Google account the Viewer role. But I'm not sure if that's the best approach given the Domain Restricted Sharing policy. I'll have to think this through carefully.
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Francesco
10 months ago
Okay, I think I've got this. The output shows a list of event logs, so it's likely a "Get-EventLog" or "Get-WinEvent" command. I'll compare the options to determine the exact command used.
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Octavio
10 months ago
Hmm, I'm a bit unsure about this one. The options don't seem to directly match the question. I'll have to read it carefully and think through the concepts to figure out the best answer.
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Levi
1 year ago
Wait, a 5% increase in the capitation rate is considered a residual trend? I thought that was just a straight-up provider reimbursement change. These insurance terms are starting to make my head spin!
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Jules
1 year ago
D) An example of a residual trend would be a 5% increase in the capitation rate paid to a PCP by Wisteria
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Brice
1 year ago
C) The residual trend most likely has more impact on Wisteria's total trend than does the provider reimbursement trend
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Sang
1 year ago
B) Wisteria's residual trend is the difference between the total trend and the portion of the total trend caused by changes in Wisteria's provider reimbursement levels
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Lashaun
1 year ago
B) Wisteria's residual trend is the difference between the total trend and the portion of the total trend caused by changes in Wisteria's provider reimbursement levels
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Rolland
1 year ago
A) The provider reimbursement trend probably is more difficult for Wisteria to quantify than is the residual trend
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Brittni
1 year ago
A) The provider reimbursement trend probably is more difficult for Wisteria to quantify than is the residual trend
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Carmela
1 year ago
I'm pretty sure the residual trend has a bigger impact on the overall trend. Those little things can really add up, you know?
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Laurel
1 year ago
Ah, I see. The residual trend is what's left over after accounting for the provider reimbursement changes. Sounds like a real brain-teaser to keep track of all those moving parts.
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Milly
1 year ago
The provider reimbursement trend is definitely more challenging to quantify. Wisteria must have a team of actuaries crunching the numbers 24/7 to stay on top of that!
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Catrice
1 year ago
D) An example of a residual trend would be a 5% increase in the capitation rate paid to a PCP by Wisteria
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Lashunda
1 year ago
C) The residual trend most likely has more impact on Wisteria's total trend than does the provider reimbursement trend
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Teri
1 year ago
B) Wisteria's residual trend is the difference between the total trend and the portion of the total trend caused by changes in Wisteria's provider reimbursement levels
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Suzan
1 year ago
A) The provider reimbursement trend probably is more difficult for Wisteria to quantify than is the residual trend
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Peggie
1 year ago
I believe the residual trend has a bigger impact on Wisteria's total trend.
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Verlene
1 year ago
I agree with Desiree, it's probably more difficult for Wisteria to quantify.
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Desiree
1 year ago
I think the provider reimbursement trend is harder to quantify.
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