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AHIP AHM-530 Exam - Topic 2 Question 108 Discussion

The Bruin Health Plan is a Social Health Maintenance Organization (SHMO). As an SHMO, Bruin:
A) Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits
B) Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO
C) Receives a payment that is based on reasonable costs and reasonable charges
D) Most likely provides fewer supportive services than does a traditional HMO, because one of Bruin's goals is to minimize the use of community-based care

AHIP AHM-530 Exam - Topic 2 Question 108 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 108
Topic #: 2
[All AHM-530 Questions]

The Bruin Health Plan is a Social Health Maintenance Organization (SHMO). As an SHMO, Bruin:

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Suggested Answer: A

by Mammie at Mar 09, 2025, 12:34 AM

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Martina
7 months ago
Not sure about that payment structure, seems complicated for an SHMO.
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Wilda
7 months ago
SHMOs do provide limited long-term care benefits, that's a fact.
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Merlyn
7 months ago
Wait, does that mean they really minimize community care? Sounds odd.
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Staci
7 months ago
Totally agree, they definitely have fewer supportive services!
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Roslyn
8 months ago
I heard SHMOs focus more on cost control than variety of services.
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Leonida
8 months ago
I remember discussing how SHMOs might provide fewer services than traditional HMOs to limit community care, so D could be a possibility too.
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Ozell
8 months ago
I'm really unsure about this one. I thought SHMOs received payments based on costs, but I can't recall if that's what C is saying.
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Yoko
8 months ago
I feel like I read somewhere that SHMOs don't need as many provider types as traditional HMOs, so maybe B is the right choice?
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Cassie
8 months ago
I think option A sounds familiar because I remember SHMOs have to provide certain benefits to Medicare participants, but I'm not completely sure about the long-term care part.
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Adela
8 months ago
Based on the information provided, it seems like an SHMO like Bruin has a more limited scope than a traditional HMO, so I'll go with option B. The question is asking about the specific characteristics of an SHMO, so that's the key thing to focus on.
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Titus
8 months ago
I'm a little confused about the differences between an SHMO and a traditional HMO. Do I need to know specific details about the provider types and reimbursement methods? I'll have to think this through more carefully.
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Weldon
8 months ago
Okay, I think I've got this. An SHMO like Bruin must provide Medicare participants with standard HMO benefits plus limited long-term care benefits, so I'll go with option A.
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Lon
9 months ago
This question seems straightforward, but I want to make sure I understand the key differences between an SHMO and a traditional HMO. I'll review the details carefully before selecting my answer.
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Royal
1 year ago
I bet the instructor is just trying to trip us up with these answer choices. But A is the clear winner here, no matter how you slice it.
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Douglass
1 year ago
I'm leaning towards A as well. It seems like the most logical option.
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Justine
1 year ago
I'm not so sure, I think C might be the correct answer.
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Salome
1 year ago
I think A is the best choice too. It makes the most sense.
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Glenna
1 year ago
B and D sound like they're describing a regular HMO, not an SHMO. A is the only answer that really captures the unique aspects of a Social Health Maintenance Organization.
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Barbra
1 year ago
Ah, the classic SHMO question. I remember getting stumped on this one during my last exam. Good thing I brushed up on my SHMO knowledge!
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Trinidad
1 year ago
C) Receives a payment that is based on reasonable costs and reasonable charges
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Glory
1 year ago
B) Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO
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Maryln
1 year ago
A) Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits
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Hildegarde
1 year ago
I was leaning towards C, but I think A is the better choice here. The payment method is not the defining feature of an SHMO.
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Catrice
1 year ago
I agree, A seems like the better choice in this case.
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Xenia
1 year ago
B) Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO
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Renay
1 year ago
A) Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits
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Sharen
1 year ago
The correct answer is A. SHMOs must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits. This is a key characteristic of these organizations.
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Laine
1 year ago
D) Most likely provides fewer supportive services than does a traditional HMO, because one of Bruin's goals is to minimize the use of community-based care
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Sommer
1 year ago
B) Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO
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Shanice
1 year ago
C) Receives a payment that is based on reasonable costs and reasonable charges
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Erick
1 year ago
A) Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits
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Noah
1 year ago
I'm leaning towards B, since SHMOs do not need as complex reimbursement methods.
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Judy
1 year ago
I disagree, I believe the answer is C, as SHMOs receive payment based on reasonable costs.
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Tammara
1 year ago
I think the answer is A, because SHMOs must provide standard HMO benefits.
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