AHIP AHM-520 Exam - Topic 5 Question 81 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 81
Topic #: 5

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

AEncourage Sunrise's physicians to perform services that are not medically necessary

BCompletely eliminate service risk for Sunrise's physicians

CDecrease Sunrise's liability for any negligent acts of the physicians in the plan's network of providers

DHelp stabilize expenses for Sunrise

Show Suggested Answer

Suggested Answer: B

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

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Yvette

4 months ago

But isn't there a risk of under-treatment with no incentives?

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Laurel

4 months ago

Definitely think it encourages better patient care!

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Lizette

4 months ago

Wait, how does a salary really reduce liability?

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Nichelle

4 months ago

I agree, it could help stabilize expenses for Sunrise.

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Fernanda

5 months ago

Salaried physicians might not push unnecessary services.

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Loren

5 months ago

I keep getting mixed up between B and D; I know salary doesn't eliminate risk, but does it really help stabilize expenses?

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Shad

5 months ago

I practiced a question similar to this, and I think the focus on stabilizing expenses aligns with what we learned about HMO structures.

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Janna

5 months 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.

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Socorro

5 months 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.

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Jettie

5 months 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.

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Tashia

5 months 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.

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Delila

5 months 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.

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Naomi

5 months 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.

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Georgiann

6 months 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.

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Adaline

6 months 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.

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Adaline

6 months 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.

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Antonio

6 months 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.

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Leslee

6 months 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.

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Launa

10 months 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?

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Ronnie

9 months ago

D) Help stabilize expenses for Sunrise

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Abel

10 months ago

B) Completely eliminate service risk for Sunrise's physicians

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Hailey

10 months ago

A) Encourage Sunrise's physicians to perform services that are not medically necessary

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Rosendo

11 months 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.

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Lauran

9 months ago

I agree, physicians still have a duty of care regardless of their payment structure.

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Josue

10 months ago

C) Decrease Sunrise's liability for any negligent acts of the physicians in the plan's network of providers

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Hoa

10 months ago

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Von

10 months ago

A) Encourage Sunrise's physicians to perform services that are not medically necessary

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Leota

10 months ago

C) Decrease Sunrise's liability for any negligent acts of the physicians in the plan's network of providers

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Paola

11 months ago

A) Encourage Sunrise's physicians to perform services that are not medically necessary

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Yuki

11 months 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!

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Aimee

11 months 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.

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Jesusita

11 months ago

But wouldn't it also decrease Sunrise's liability for any negligent acts of the physicians in the plan's network of providers?

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Paris

11 months 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.

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