Discuss AHIP AHM-520 Exam Topic 6 Question 43

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

Suggested Answer: A

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12 comments · newest first

Delsie 1 year ago

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

Eliz 1 year ago

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

Brigette 1 year ago

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

Gracie 1 year ago

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

Keneth 1 year ago

Sounds like a risk pool to me!

Janet 1 year 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.

Dacia 1 year ago

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

Cherrie 1 year ago

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

Felix 1 year 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.

Rikki 1 year 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.

Annabelle 1 year 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.

Lajuana 1 year 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.

AHIP AHM-520 Exam - Topic 6 Question 43 Discussion