AHIP AHM-520 Exam - Topic 6 Question 43 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 43
Topic #: 6

Dr. Jacob Winburne is compensated by the Honor Health Plan under an arrangement in which Honor establishes at the beginning of a financial period a fund from which claims approved for payment are paid. At the end of the given period, any funds remaining are paid out to providers. This information indicates that the arrangement between Dr. Winburne and Honor includes a provider incentive known as a:

ARisk pool, and any deficit in the fund at the end of the period would be the sole responsibility of Honor

BRisk pool, and any deficit in the fund at the end of the period would be paid by both Dr. Winburne and Honor according to percentages agreed upon at the beginning of the contract period

CWithhold, and any deficit in the fund at the end of the period would be the sole responsibility of Honor

DWithhold, and any deficit in the fund at the end of the period would be paid by both Dr. Winburne and Honor according to percentages agreed upon at the beginning of the contract period

Show Suggested Answer

Suggested Answer: A

by Pamella at May 09, 2022, 11:44 PM

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Delsie

5 months ago

Not sure about that, could be a mix of both!

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Eliz

5 months ago

Definitely a risk pool, they’re just managing funds.

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Brigette

5 months ago

Wait, so Honor takes all the risk? That seems off.

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Gracie

5 months ago

I think it’s a withhold arrangement, not a risk pool.

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Keneth

5 months ago

Sounds like a risk pool to me!

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Janet

6 months ago

Based on the options provided, I think the _checkpoint index is the one that needs to be cleaned to reset the input checkpoint information. That makes the most sense to me.

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Dacia

6 months ago

Hmm, I'm not totally sure about this one. I'll need to think it through carefully.

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Cherrie

6 months ago

I'm leaning towards the networked HR option, but I wonder if it might complicate communication too much with rapid expansion.

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Felix

6 months ago

Okay, let me think this through step-by-step. Ahlen is using pre-calculated hashes to try to derive passwords, so it's likely some kind of lookup table. I'm guessing it's either a rainbow table or a hash table, since those are common techniques for password cracking. I'll go with rainbow table for now, but I'll double-check my work before submitting.

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Rikki

6 months ago

This seems like a straightforward question. The company is moving from spreadsheets to a cloud-based CRM, which suggests they are "replatforming" their existing application.

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Annabelle

6 months ago

Ah, this is a good one. I'd say the test definition strategy is crucial here. Focusing on use case and exception case coverage seems like the best approach to ensure we're thoroughly testing the SUT's behavior.

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Lajuana

6 months ago

I vaguely recall that the Aviatrix TGW Orchestrator plays a big role in simplifying the routing, but I can't remember if it's the best choice for this specific situation.

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