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AHIP AHM-530 Exam - Topic 3 Question 59 Discussion

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

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

Suggested Answer: B

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12 comments · newest first
BR
Brittani 12 months ago
A is too basic for a workers' comp program, I don't see that happening.
ST
Stefania 1 year ago
C seems plausible, but I’m not sure if it’s the same level of care.
SO
Sol 1 year ago
Really? I doubt they’d prioritize recovery over costs.
CR
Cristen 1 year ago
Definitely agree with B! Cost shouldn't be the priority here.
LU
Lucy 1 year ago
I think option B makes the most sense. Rapid recovery is key.
CL
Clay 1 year 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.
ED
Edna 1 year 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.
HU
Hubert 1 year ago
I'm not entirely sure, but I feel like the provider network would need to meet certain standards, so D seems unlikely.
KA
Kara 1 year ago
I remember discussing how workers' compensation programs often prioritize rapid recovery, so I think B might be the right choice.
TA
Tasia 1 year ago
The question mentions "infinite items" like water and electricity, so I'm guessing the answer is Non-Inventory.
CH
Chi 1 year 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.
LE
Lea 1 year 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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