AHIP AHM-530 Exam - Topic 3 Question 59 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 59
Topic #: 3

Grant Pelham is covered by both a workers' compensation program and a group health plan provided by his employer. The Shipwright Health Plan administers both programs. Mr. Grant was injured while on the job and applied for benefits.

The provider network that Shipwright uses to furnish services for its workers' compensation program will most likely

AEmphasize primary care and consist mostly of generalists

BFocus treatment approaches on rapid recovery rather than cost

COffer workers' compensation beneficiaries the same types and levels of treatment that Shipwright's traditional network furnishes to group health plan members

DExempt participating providers from meeting standard credentialing requirements

Show Suggested Answer

Suggested Answer: B

by Derick at Oct 16, 2022, 12:38 PM

Limited Time Offer

25%

Off

Get Premium AHM-530 Questions as Interactive Web-Based Practice Test or PDF

Contribute your Thoughts:

Submit Cancel

Brittani

4 months ago

A is too basic for a workers' comp program, I don't see that happening.

upvoted 0 times

...

Stefania

5 months ago

C seems plausible, but I’m not sure if it’s the same level of care.

upvoted 0 times

...

Sol

5 months ago

Really? I doubt they’d prioritize recovery over costs.

upvoted 0 times

...

Cristen

5 months ago

Definitely agree with B! Cost shouldn't be the priority here.

upvoted 0 times

...

Lucy

5 months ago

I think option B makes the most sense. Rapid recovery is key.

upvoted 0 times

...

Clay

5 months ago

I’m torn between A and B; I know primary care is important, but I also recall that workers' comp focuses on getting people back to work quickly.

upvoted 0 times

...

Edna

5 months ago

I practiced a similar question where the focus was on treatment types, and I think C could be a possibility since they might want to offer consistent care.

upvoted 0 times

...

Hubert

5 months ago

I'm not entirely sure, but I feel like the provider network would need to meet certain standards, so D seems unlikely.

upvoted 0 times

...

Kara

6 months ago

I remember discussing how workers' compensation programs often prioritize rapid recovery, so I think B might be the right choice.

upvoted 0 times

...

Tasia

6 months ago

The question mentions "infinite items" like water and electricity, so I'm guessing the answer is Non-Inventory.

upvoted 0 times

...

Chi

6 months ago

Updating the program management plan seems like a logical step. The program has already encountered issues, so revising the plan could help address those and prevent further problems.

upvoted 0 times

...

Lea

6 months ago

Watch out for tricky wording. The question asks about why health plans USE these systems, not just describing their features. Need to focus on the motivation.

upvoted 0 times

...