AHIP AHM-520 Exam - Topic 6 Question 41 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 41
Topic #: 6

The Chamber Health Plan reimburses primary care physicians on a monthly basis by using a simple capitation method. Chamber assumes an annual utilization rate of three visits per year. The FFS rate per office visit is $75, and all plan members are required to make a $10 copayment for each office visit. This information indicates that the capitation rate that Chamber calculates per member per month (PMPM) is equal to:

A$6.25

B$16.25

C$18.75

D$21.25

Show Suggested Answer

Suggested Answer: B

by Chantell at May 07, 2022, 10:31 AM

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Jovita

5 months ago

$21.25 seems way too high for a capitation rate!

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Ahmed

6 months ago

I think it’s $18.75, but I’m not 100% sure.

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Rodney

6 months ago

Wait, how does the copayment factor into the capitation rate?

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Jerilyn

6 months ago

Totally agree, that makes the math pretty straightforward!

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Juliann

6 months ago

The FFS rate is $75 and three visits a year, right?

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Lisandra

6 months ago

I feel like the answer should be around $18.75, but I’m not confident about how the copayment affects the PMPM rate.

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Taryn

7 months ago

This question seems similar to one we did on capitation rates, but I can't remember if we included the copayment in the calculation or not.

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Marylin

7 months ago

I think the formula involves taking the total annual cost and dividing it by 12, but I can't recall the exact steps we practiced.

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Brice

7 months ago

I remember we calculated capitation rates in class, but I'm not entirely sure how to factor in the copayment here.

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Lennie

7 months ago

Okay, let me think this through step-by-step. Twitter's pricing models are usually based on engagement, like clicks or views. So I'm guessing the answer is either CPC (cost-per-click) or CPM (cost-per-thousand impressions). I'll go with CPM since that's more common for promoted content.

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Marjory

7 months ago

This is a tricky one. I'm not super familiar with field service dispatch, so I'll need to do a quick review of the relevant Salesforce features before deciding. But I think I can work through this step-by-step and come up with a solid solution.

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Lynda

7 months ago

Wait, do they want us to choose just ONE thing? I'm stuck between real examples and tailored modules. Wish they'd let us pick multiple components.

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Paola

7 months ago

Okay, I think I've got this. Based on the details about AAA lobbying the regional authority to get their hybrid cars access to the faster lanes, even without passengers, that sounds like a non-market strategy to me. I'll go with option C.

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Rolland

7 months ago

I'm pretty confident that "None of these" is the correct answer. The other options all seem to be standard principal investment strategies, so the one that's not included must be the right choice.

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