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AHIP AHM-530 Exam - Topic 4 Question 46 Discussion

Posted by Leonida on May 07, 2022 at 11:42 AM

The Azure Health Plan strives to ensure for its plan members the best possible level of care from its providers. In order to maintain such high standards, Azure uses a variety of quantitative and qualitative (behavioral) measures to determine the effectiveness of its providers. Azure then compares the clinical and operational practices of its providers with those of other providers outside the network, with the goal of identifying and implementing the practices that lead to the best outcomes.

The comparative method of evaluation that Azure uses to identify and implement the practices that lead to the best outcomes is known as

Suggested Answer: C

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10 comments · newest first
PE
Penney 1 year ago
Case mix analysis is important too, but I lean towards benchmarking here.
AD
Adell 1 year ago
I think it's outcomes research, not just benchmarking.
ME
Meghan 1 year ago
Wait, are they really comparing with outside providers? That seems risky.
RI
Rikki 1 year ago
Totally agree, benchmarking is key for quality care!
HE
Hermila 1 year ago
Sounds like they're using benchmarking to compare providers.
LA
Lashunda 1 year ago
Hmm, I'm a bit unsure about the differences between these cloud service models. I'll need to review my notes to refresh my memory on the level of control each one provides.
CL
Clay 1 year ago
I'm a bit stuck on the AKS inference cluster option. I'm not sure if that's available in the Basic tier or not. I'll need to double-check the documentation to be sure.
KR
Kristofer 1 year ago
I'm pretty confident that option A is the correct answer. The key idea of accrual accounting is that revenue and expenses are recognized when they're earned or incurred, not necessarily when cash is received or paid.
IN
In 1 year ago
Hmm, I'm not totally sure about this one. I think it might be Aggregate planning, but I'm not 100% certain. I'll have to think it through carefully.
IS
Isreal 1 year ago
I've got this! Populate the sales tax code, assign the sales tax group, and make sure the relevant sales tax code is assigned to both the sales tax and item sales tax groups. Easy peasy.
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