AHIP AHM-530 Exam - Topic 5 Question 47 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 47
Topic #: 5

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.

Qualitative measures that Azure could use to assess provider performance include an evaluation of how

AQuickly the provider responds to plan members' inquiries

BEffectively the provider communicates with plan members

COften the provider refers plan members for ancillary services

DMany plan members visit the provider per month

Show Suggested Answer

Suggested Answer: C

by Rikki at May 08, 2022, 01:52 AM

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Kristofer

5 months ago

I didn’t know they used both quantitative and qualitative measures!

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Stefany

5 months ago

Referrals for ancillary services are super important too!

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Frederic

5 months ago

Wait, are they really comparing with outside providers?

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Laine

5 months ago

I disagree, quick responses matter more.

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Trina

5 months ago

I think effective communication is key!

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Nan

6 months ago

Hmm, I'm not entirely sure about the difference between the options. I'll need to think this through carefully.

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Aja

6 months ago

Ah, this is right up my alley! I'm pretty confident I can figure this out. Gotta be option C - searching the UDDI registry.

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Jaime

6 months ago

This looks like a straightforward multiple-choice question on the capabilities of the Probe drive test tool. I think I can handle this one - the key is to carefully read through the options and identify which ones can be directly observed through the tool.

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Xochitl

6 months ago

I remember discussing procedural integrity in class, but I'm not entirely sure how it relates to generalization. Consistency of instruction rings a bell though.

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