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AHIP AHM-520 Exam - Topic 5 Question 81 Discussion

Posted by Mozell on Feb 13, 2024 at 10:17 AM

The physicians who work for the Sunrise Health Plan, a staff model HMO, are paid a salary that is not augmented with another type of incentive plan. Compared to the use of a traditional reimbursement method, Sunrise's use of a salary reimbursement method is more likely to

Suggested Answer: B

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39 comments · newest first
YV
Yvette 11 months ago
But isn't there a risk of under-treatment with no incentives?
LA
Laurel 11 months ago
Definitely think it encourages better patient care!
LI
Lizette 12 months ago
Wait, how does a salary really reduce liability?
NI
Nichelle 12 months ago
I agree, it could help stabilize expenses for Sunrise.
FE
Fernanda 1 year ago
Salaried physicians might not push unnecessary services.
LO
Loren 1 year ago
I keep getting mixed up between B and D; I know salary doesn't eliminate risk, but does it really help stabilize expenses?
SH
Shad 1 year ago
I practiced a question similar to this, and I think the focus on stabilizing expenses aligns with what we learned about HMO structures.
JA
Janna 1 year ago
I'm not entirely sure, but I feel like option A could be a concern with salary models since there's less incentive to limit unnecessary services.
SO
Socorro 1 year ago
I remember discussing how salary models can lead to more stable expenses for health plans, so I think D might be the right choice.
JE
Jettie 1 year ago
I feel pretty confident about this. A salary-based system eliminates the incentive to over-provide services, so that's the most likely effect compared to a traditional reimbursement model. I'll go with A.
TA
Tashia 1 year ago
I'm a little confused on this one. The options seem to be getting at different aspects, like risk, liability, and expenses. I'll need to review my notes to make sure I understand the key differences between the reimbursement methods.
DE
Delila 1 year ago
Okay, I remember discussing this in class. A salary-based system removes the financial incentive to provide more services, so it's more likely to discourage unnecessary care. I think the answer is A.
NA
Naomi 1 year ago
Hmm, I'm a bit unsure about this one. The question is asking about the likely effects, but I'm not totally clear on how a salary-based system would impact things like unnecessary services or liability. I'll need to think it through carefully.
GE
Georgiann 1 year ago
This seems like a straightforward question about the effects of a salary-based reimbursement system compared to a traditional one. I think I have a good handle on the key differences, so I'll carefully consider each option.
AD
Adaline 1 year ago
This question seems pretty straightforward. I think the key is to focus on the concept of "Continuous Delivery" and what that implies about the application build process.
AD
Adaline 1 year ago
Okay, I've got this. The question is asking about options after clicking an item in search results, so the correct answer is probably saving the item to a report or adding it to a dashboard.
AN
Antonio 1 year ago
Okay, let me think this through step-by-step. I need to make sure I'm correctly interpreting the vector constructor and iterator usage.
LE
Leslee 1 year ago
This seems like a straightforward probability question. I'll think through the different ways probability of failure can be expressed and choose the best option.
LA
Launa 1 year ago
Personally, I'm just glad the question didn't involve leeches or bloodletting. Those were the good old days of medicine, am I right?
RO
Ronnie 1 year ago
↳ replying to Launa
D) Help stabilize expenses for Sunrise
AB
Abel 1 year ago
↳ replying to Launa
B) Completely eliminate service risk for Sunrise's physicians
HA
Hailey 1 year ago
↳ replying to Launa
A) Encourage Sunrise's physicians to perform services that are not medically necessary
RO
Rosendo 2 years ago
B is a bit too extreme. Even with a salary, physicians still have a professional obligation to provide appropriate care. Sunrise's liability wouldn't completely disappear just because they use a salaried model.
LA
Lauran 1 year ago
↳ replying to Rosendo
I agree, physicians still have a duty of care regardless of their payment structure.
JO
Josue 1 year ago
↳ replying to Rosendo
C) Decrease Sunrise's liability for any negligent acts of the physicians in the plan's network of providers
HO
Hoa 1 year ago
↳ replying to Rosendo
B is a bit too extreme. Even with a salary, physicians still have a professional obligation to provide appropriate care. Sunrise's liability wouldn't completely disappear just because they use a salaried model.
VO
Von 1 year ago
↳ replying to Rosendo
A) Encourage Sunrise's physicians to perform services that are not medically necessary
LE
Leota 1 year ago
↳ replying to Rosendo
C) Decrease Sunrise's liability for any negligent acts of the physicians in the plan's network of providers
PA
Paola 2 years ago
↳ replying to Rosendo
A) Encourage Sunrise's physicians to perform services that are not medically necessary
YU
Yuki 2 years ago
I agree with Paris. Salaried physicians have no financial incentive to over-prescribe, so D is the best choice here. Heck, they might even start prescribing 'naps' as a treatment, saving the plan tons of money!
AI
Aimee 2 years ago
I think A is a plausible answer too. Salaried physicians might have less motivation to keep costs down and could potentially perform unnecessary services.
JE
Jesusita 2 years ago
But wouldn't it also decrease Sunrise's liability for any negligent acts of the physicians in the plan's network of providers?
PA
Paris 2 years ago
The correct answer is D. Paying physicians a salary helps stabilize expenses for Sunrise Health Plan, as they don't have the incentive to perform unnecessary services like in a traditional reimbursement model.
TA
Tawna 1 year ago
↳ replying to Paris
User 2
OD
Odette 1 year ago
↳ replying to Paris
User 2
RE
Rebecka 1 year ago
↳ replying to Paris
User 1
CA
Carolynn 1 year ago
↳ replying to Paris
User 1
JO
Jolene 2 years ago
I agree with Eleni. It makes sense that a fixed salary would provide more predictability in terms of expenses.
EL
Eleni 2 years ago
I think the salary reimbursement method would help stabilize expenses for Sunrise.
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