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AHIP AHM-540 Exam - Topic 5 Question 51 Discussion

Posted by Gearldine on May 07, 2022 at 03:28 AM

The case management program director at the Nova Health Plan calculated the program's ratio of medical expense savings to case management administrative costs for the previous quarter based on the following cost information:

Administrative costs for case management ..........$40,000

Actual medical care expenses for patients under case management ..........$680,000

Projected medical care expenses for the same patients without case management ..........$900,000

This information indicates that, for the previous quarter, Nova's ratio of medical expense savings to case management administrative costs was

Suggested Answer: C

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7 comments · newest first
JE
Jerlene 1 year ago
I agree, 5.50/1 makes sense with those numbers!
DA
Daniela 1 year ago
Wait, how did they calculate that? Seems off.
RO
Roselle 1 year ago
I think it's closer to 1.25/1.
DO
Dorthy 1 year ago
Definitely looks like a 5.50/1 ratio!
RI
Rickie 1 year ago
The savings are $220,000.
NO
Norah 1 year ago
Hmm, I'm not too familiar with Huawei FusionCube. I'll have to think about the key messages and how they might align with the answer choices. Hopefully I can eliminate a few options and make an educated guess.
HA
Hassie 1 year ago
Wait, I'm a bit confused. Is it the Pattern probes that are launched based on the Classification Criteria? I'll have to double-check that.
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