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AHIP AHM-520 Exam - Topic 5 Question 81 Discussion

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
B) Completely eliminate service risk for Sunrise's physicians
A) Encourage Sunrise's physicians to perform services that are not medically necessary
C) Decrease Sunrise's liability for any negligent acts of the physicians in the plan's network of providers
D) Help stabilize expenses for Sunrise

AHIP AHM-520 Exam - Topic 5 Question 81 Discussion

Actual exam question for AHIP's AHM-520 exam
Question #: 81
Topic #: 5
[All AHM-520 Questions]

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

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Suggested Answer: B

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

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Yvette
10 months ago
But isn't there a risk of under-treatment with no incentives?
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Laurel
10 months ago
Definitely think it encourages better patient care!
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Lizette
10 months ago
Wait, how does a salary really reduce liability?
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Nichelle
10 months ago
I agree, it could help stabilize expenses for Sunrise.
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Fernanda
11 months ago
Salaried physicians might not push unnecessary services.
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Loren
11 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
11 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
11 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
11 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
11 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
11 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
11 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
12 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
12 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
12 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
12 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
12 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
12 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
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?
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Ronnie
1 year ago
D) Help stabilize expenses for Sunrise
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Abel
1 year ago
B) Completely eliminate service risk for Sunrise's physicians
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Hailey
1 year ago
A) Encourage Sunrise's physicians to perform services that are not medically necessary
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Rosendo
1 year 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
1 year ago
I agree, physicians still have a duty of care regardless of their payment structure.
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Josue
1 year 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
1 year 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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Von
1 year ago
A) Encourage Sunrise's physicians to perform services that are not medically necessary
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Leota
1 year 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
1 year ago
A) Encourage Sunrise's physicians to perform services that are not medically necessary
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Yuki
1 year 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
1 year 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
1 year 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
1 year 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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Tawna
1 year ago
User 2
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Odette
1 year ago
User 2
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Rebecka
1 year ago
User 1
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Carolynn
1 year ago
User 1
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Jolene
1 year ago
I agree with Eleni. It makes sense that a fixed salary would provide more predictability in terms of expenses.
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Eleni
1 year ago
I think the salary reimbursement method would help stabilize expenses for Sunrise.
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