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AHIP AHM-530 Exam - Topic 3 Question 59 Discussion

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
B) Focus treatment approaches on rapid recovery rather than cost
A) Emphasize primary care and consist mostly of generalists
C) Offer workers' compensation beneficiaries the same types and levels of treatment that Shipwright's traditional network furnishes to group health plan members
D) Exempt participating providers from meeting standard credentialing requirements

AHIP AHM-530 Exam - Topic 3 Question 59 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 59
Topic #: 3
[All AHM-530 Questions]

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

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Suggested Answer: B

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

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Brittani
7 months ago
A is too basic for a workers' comp program, I don't see that happening.
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Stefania
8 months ago
C seems plausible, but I’m not sure if it’s the same level of care.
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Sol
8 months ago
Really? I doubt they’d prioritize recovery over costs.
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Cristen
8 months ago
Definitely agree with B! Cost shouldn't be the priority here.
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Lucy
8 months ago
I think option B makes the most sense. Rapid recovery is key.
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Clay
8 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.
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Edna
8 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.
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Hubert
8 months ago
I'm not entirely sure, but I feel like the provider network would need to meet certain standards, so D seems unlikely.
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Kara
9 months ago
I remember discussing how workers' compensation programs often prioritize rapid recovery, so I think B might be the right choice.
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Tasia
9 months ago
The question mentions "infinite items" like water and electricity, so I'm guessing the answer is Non-Inventory.
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Chi
9 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.
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Lea
9 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.
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