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AHIP AHM-530 Exam - Topic 4 Question 19 Discussion

Under the compensation arrangement that the Falcon Health Plan has with some of its providers, Falcon holds back 10% of the negotiated payments to these providers in order to offset or pay for any claims that exceed the budgeted costs for referral or hospital services. If the providers keep costs within the budgeted amount, Falcon distributes to them the entire amount of money held back. This way of motivating providers to control costs while providing high-quality, appropriate care is known as a:
B) Withhold arrangement
A) Risk pool arrangement
C) Cost-shifting arrangement
D) Bonus pool arrangement

AHIP AHM-530 Exam - Topic 4 Question 19 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 19
Topic #: 4
[All AHM-530 Questions]

Under the compensation arrangement that the Falcon Health Plan has with some of its providers, Falcon holds back 10% of the negotiated payments to these providers in order to offset or pay for any claims that exceed the budgeted costs for referral or hospital services. If the providers keep costs within the budgeted amount, Falcon distributes to them the entire amount of money held back. This way of motivating providers to control costs while providing high-quality, appropriate care is known as a:

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Suggested Answer: B

by Caitlin at May 03, 2022, 08:01 AM

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Mattie
11 months ago
Wait, they actually give back the 10%? That's interesting!
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Antione
11 months ago
Not sure if this really motivates providers though...
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Aimee
11 months ago
Seems like a smart way to control costs!
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Reita
11 months ago
I thought it was a risk pool arrangement?
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Margart
11 months ago
That's definitely a withhold arrangement!
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Angella
12 months ago
I'm leaning towards option D. While FTTH may have some limitations, reusing the existing infrastructure could reduce costs and speed up 5G deployment. As long as the technology continues to improve, it might be a viable option.
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Avery
12 months ago
I think we need to apply the Gordon Growth Model here. I recall the formula is required to find the cost of equity, but I'm unsure about the exact calculation.
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Nieves
12 months ago
If I recall correctly, using Ethernet and unified ports together could be problematic. I just can't remember which option that was.
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