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AHIP AHM-530 Exam - Topic 5 Question 16 Discussion

The following statement(s) can correctly be made about contracting and reimbursement of specialty care physicians (SCPs):
A) Typically, a health plan should attempt to control utilization of SCPs before attempting to place these providers under a capitation arrangement.
B) Forms of specialty physician reimbursement used by health plans include a retainer and a bundled case rate.
C) Both A and B
D) A only
E) B only
F) Neither A nor B

AHIP AHM-530 Exam - Topic 5 Question 16 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 16
Topic #: 5
[All AHM-530 Questions]

The following statement(s) can correctly be made about contracting and reimbursement of specialty care physicians (SCPs):

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Suggested Answer: A

by Stephaine at May 06, 2022, 01:52 PM

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Leontine
8 months ago
I thought capitation was the norm for SCPs, not just an afterthought?
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Carman
8 months ago
Totally agree with B, those reimbursement methods are legit!
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Shelia
8 months ago
Wait, are we sure A is always the first step? Seems a bit off.
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Nan
8 months ago
B is definitely true, retainer and bundled rates are common!
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Cristal
8 months ago
A capitation arrangement without controlling utilization? Sounds risky.
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Dominga
9 months ago
Hmm, this seems like a pretty straightforward question. I think I'll go with option A - View, Explore, Refine, Save, Share. That sounds like a logical process for data exploration.
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Karan
9 months ago
This is a tricky one. I'm leaning towards Constraints and Associations, but I'm not 100% certain. I'll make my best guess and move on to the next question.
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Leonard
9 months ago
I remember something about using a limit parameter, but I can't quite recall if it's 'limit' or something like 'return'.
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Ashton
9 months ago
Hmm, this seems like a clear-cut case of a conflict of interest. H should definitely withdraw from the assessment process to avoid any appearance of impropriety.
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Carman
9 months ago
Hmm, I'm a little confused. The question is asking if the underlined text is correct, but I'm not sure what the difference is between the options. I'll have to read through the question again and think it through step-by-step.
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