MENU
Dr. Sylvia Cimer and Dr. Andrew Donne are obstetrician/gynecologists who participate in the same provider network. Dr. Comer treats a large number of high-risk patients, whereas Dr. Donne's patients are generally healthy and rarely present complications. As a result, Dr. Comer typically uses medical resources at a much higher rate than does Dr. Donne. In order to equitably compare Dr. Comer's performance with Dr. Donne's performance, the health plan modified its evaluation to account for differences in the providers' patient populations and treatment protocols. The health plan modified Dr. Comer's and Dr. Donne's performance data by means of
Suggested Answer: A
Get Premium AHM-530 Questions
as Interactive Web-Based Practice Test or PDF
Real Exam Format
Detailed Explanations
Instant Access
Get Your Practice Test
17 comments · newest first
WE
Werner
1 month ago
Right! We need to account for the differences in care.
LO
Lorean
1 month ago
Exactly! Without adjustment, it’s an unfair comparison.
PE
Pearline
2 months ago
C is not relevant here. It's all about patient complexity.
DO
Douglass
2 months ago
I feel like A is the only option that fits.
AR
Aretha
2 months ago
A is definitely right. Adjusting for patient severity is crucial.
TA
Tayna
2 months ago
B seems plausible too, but I lean towards A.
WE
Werner
2 months ago
I agree, A is the best choice. High-risk patients need more resources.
LO
Lorean
2 months ago
I think it's A) case mix/severity adjustment. It makes sense to compare them fairly.
SI
Silvana
3 months ago
Yup, makes sense to level the playing field!
PA
Pamella
3 months ago
A case mix adjustment is standard in these situations.
AL
Alline
3 months ago
Wait, can you really adjust for that? Seems tricky.
ON
Oneida
3 months ago
Totally agree, that's the fairest way to compare them.
RI
Rikki
3 months ago
Sounds like a case mix/severity adjustment to me!
JO
Josue
3 months ago
I’m leaning towards A as well, but I wonder if there are any situations where structural measures could apply here. It’s tricky!
TE
Tess
4 months ago
I feel like I've seen questions like this before, and case mix adjustment seems to fit best. But I’m a bit confused about the other options.
KE
Kent
4 months ago
I'm not entirely sure, but I remember something about external performance standards being used in similar scenarios. Could it be B?
SH
Shelia
4 months ago
I think the answer might be A) case mix/severity adjustment since it sounds like they are trying to level the playing field between the two doctors.