Discuss AHIP AHM-530 Exam Topic 1 Question 122

The following activities are the responsibility of either the Nova Health Plan's risk management department or its medical management department:

AProtecting Nova's members against harm from medical care

BImproving the overall health status of Nova members by coordinating care across individual episodes of care and the different providers who treat the member

CProtecting Nova against financial loss associated with the delivery of healthcare

DEstablishing outreach programs to encourage the use of preventive health services by Nova's members of these activities, the ones that are more likely to be the responsibility of Nova's risk management department rather than its medical management department are activities:

EA, B, and C

FA, C, and D

GA and C

HB and D

Suggested Answer: C

Get Premium AHM-530 Questions as Interactive Web-Based Practice Test or PDF Real Exam Format Detailed Explanations Instant Access Get Your Practice Test

26 comments · newest first

Allene 2 months ago

True, but outreach programs in D could also fall under risk management. It's all connected!

Kenny 2 months ago

But B seems more like medical management. They focus on improving health status.

Bo 2 months ago

I agree! Protecting members and finances is crucial for risk management.

Ezekiel 3 months ago

I think A and C are definitely risk management's job.

Valentin 3 months ago

I’m not sure about D. Outreach feels more medical management to me.

Tu 3 months ago

I lean towards E. All three activities are interconnected.

Aliza 3 months ago

I agree, but I feel like B is also crucial for overall health.

Allene 3 months ago

I think A and C are definitely risk management. Protecting members is key.

Olive 3 months ago

True, but outreach programs also tie into risk management.

Gracie 4 months ago

But B seems more about medical management, right?

Aretha 4 months ago

I agree! Protecting members and finances is crucial.

Karol 4 months ago

I think A and C are definitely risk management's job.

Holley 4 months ago

Not sure about D being risk management, seems more proactive than reactive.

Cheryll 4 months ago

Totally agree, A and C make sense for risk management!

Glen 6 months ago

Wait, so protecting against financial loss is risk management? That’s surprising!

Pok 6 months ago

I think B is more about medical management, not risk.

Linsey 6 months ago

A and C definitely fall under risk management.

Jina 6 months ago

Not sure about this, seems like a gray area.

Layla 7 months ago

Totally agree with G, A and C are spot on!

Lynelle 7 months ago

Surprised that D isn't part of risk management.

Gwen 7 months ago

I think B should be included too!

Sheridan 7 months ago

A and C definitely fall under risk management.

Beckie 7 months ago

I agree with the idea that A and C are risk management, but I wonder if D should be included too since it’s about preventive services.

Kayleigh 7 months ago

I'm a bit confused about whether outreach programs fall under risk management or medical management. I feel like it could go either way.

Cyndy 8 months ago

I remember a practice question that had similar themes, and I think B is more about medical management since it involves coordinating care.

Javier 8 months ago

I think A and C definitely relate to risk management since they focus on protecting members and financial losses, but I'm not sure about D.

AHIP AHM-530 Exam - Topic 1 Question 122 Discussion