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The Bruin Health Plan is a Social Health Maintenance Organization (SHMO). As an SHMO, Bruin:
Suggested Answer: A
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34 comments · newest first
MA
Martina
11 months ago
Not sure about that payment structure, seems complicated for an SHMO.
WI
Wilda
11 months ago
SHMOs do provide limited long-term care benefits, that's a fact.
ME
Merlyn
12 months ago
Wait, does that mean they really minimize community care? Sounds odd.
ST
Staci
12 months ago
Totally agree, they definitely have fewer supportive services!
RO
Roslyn
1 year ago
I heard SHMOs focus more on cost control than variety of services.
LE
Leonida
1 year ago
I remember discussing how SHMOs might provide fewer services than traditional HMOs to limit community care, so D could be a possibility too.
OZ
Ozell
1 year 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.
YO
Yoko
1 year 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?
CA
Cassie
1 year 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.
AD
Adela
1 year 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.
TI
Titus
1 year 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.
WE
Weldon
1 year 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.
LO
Lon
1 year 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.
RO
Royal
2 years 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.
DO
Douglass
2 years ago
I'm leaning towards A as well. It seems like the most logical option.
JU
Justine
2 years ago
I'm not so sure, I think C might be the correct answer.
SA
Salome
2 years ago
I think A is the best choice too. It makes the most sense.
GL
Glenna
2 years 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.
BA
Barbra
2 years 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!
TR
Trinidad
2 years ago
C) Receives a payment that is based on reasonable costs and reasonable charges
GL
Glory
2 years ago
B) Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO
MA
Maryln
2 years ago
A) Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits
HI
Hildegarde
2 years 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.
CA
Catrice
2 years ago
I agree, A seems like the better choice in this case.
XE
Xenia
2 years ago
B) Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO
RE
Renay
2 years ago
A) Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits
SH
Sharen
2 years 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.
LA
Laine
2 years 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
SO
Sommer
2 years ago
B) Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO
SH
Shanice
2 years ago
C) Receives a payment that is based on reasonable costs and reasonable charges
ER
Erick
2 years ago
A) Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits
NO
Noah
2 years ago
I'm leaning towards B, since SHMOs do not need as complex reimbursement methods.
JU
Judy
2 years ago
I disagree, I believe the answer is C, as SHMOs receive payment based on reasonable costs.
TA
Tammara
2 years ago
I think the answer is A, because SHMOs must provide standard HMO benefits.