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AHIP Exam AHM-530 Topic 2 Question 108 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 108
Topic #: 2
[All AHM-530 Questions]

The Bruin Health Plan is a Social Health Maintenance Organization (SHMO). As an SHMO, Bruin:

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Suggested Answer: A

Contribute your Thoughts:

Royal
14 days ago
I bet the instructor is just trying to trip us up with these answer choices. But A is the clear winner here, no matter how you slice it.
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Glenna
18 days ago
B and D sound like they're describing a regular HMO, not an SHMO. A is the only answer that really captures the unique aspects of a Social Health Maintenance Organization.
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Barbra
22 days ago
Ah, the classic SHMO question. I remember getting stumped on this one during my last exam. Good thing I brushed up on my SHMO knowledge!
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Maryln
8 days ago
A) Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits
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Hildegarde
27 days ago
I was leaning towards C, but I think A is the better choice here. The payment method is not the defining feature of an SHMO.
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Catrice
3 days ago
I agree, A seems like the better choice in this case.
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Xenia
7 days ago
B) Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO
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Renay
11 days ago
A) Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits
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Sharen
1 months ago
The correct answer is A. SHMOs must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits. This is a key characteristic of these organizations.
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Laine
4 days ago
D) Most likely provides fewer supportive services than does a traditional HMO, because one of Bruin's goals is to minimize the use of community-based care
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Sommer
11 days ago
B) Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO
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Shanice
14 days ago
C) Receives a payment that is based on reasonable costs and reasonable charges
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Erick
19 days ago
A) Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits
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Noah
1 months ago
I'm leaning towards B, since SHMOs do not need as complex reimbursement methods.
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Judy
1 months ago
I disagree, I believe the answer is C, as SHMOs receive payment based on reasonable costs.
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Tammara
1 months ago
I think the answer is A, because SHMOs must provide standard HMO benefits.
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