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AHIP Exam AHM-530 Topic 3 Question 89 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 89
Topic #: 3
[All AHM-530 Questions]

Health plan contract negotiations with an integrated delivery system (IDS) or a hospital are usually lengthier and more complex than negotiations with a single-specialty provider.

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Suggested Answer: B

by Ernest at Jun 03, 2024, 05:43 PM

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Carrol
9 months ago
I think the key here is that case mix/severity adjustments allow for a more apples-to-apples comparison between providers. Option B captures that perfectly.
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Candra
8 months ago
C) Tend to increase the number of providers who are considered to be outliers
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Charlie
8 months ago
B) Help compensate for any unusual factors that may exist in a provider's patient population or in a particular patient
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Louann
8 months ago
A) Typically are more important in measuring the performance of PCPs than they are in measuring the performance of specialists
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Salome
9 months ago
B) Help compensate for any unusual factors that may exist in a provider's patient population or in a particular patient
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Margarett
9 months ago
A) Typically are more important in measuring the performance of PCPs than they are in measuring the performance of specialists
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German
10 months ago
I believe option B is correct. It compensates for any unusual factors.
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Rolande
10 months ago
Haha, option D is a good one. Trying to compare outpatient and inpatient providers without adjusting for case mix is like trying to compare apples and oranges. Good luck with that!
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Johnna
10 months ago
Option C is interesting, but I don't think that's the right answer. If anything, these adjustments should help reduce the number of outliers by leveling the playing field.
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Chuck
9 months ago
C) Tend to increase the number of providers who are considered to be outliers
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Deonna
9 months ago
B) Help compensate for any unusual factors that may exist in a provider's patient population or in a particular patient
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Monroe
9 months ago
A) Typically are more important in measuring the performance of PCPs than they are in measuring the performance of specialists
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Telma
10 months ago
I agree. They help account for differences in patient populations.
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Vince
10 months ago
I think case mix/severity adjustments are crucial for fair evaluations.
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Altha
10 months ago
I agree with Emilio. These adjustments are crucial to ensure we're not unfairly penalizing providers who happen to have more complex or high-risk patients.
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Emilio
10 months ago
Option B is the correct answer. Case mix/severity adjustments help account for differences in the patient populations that providers serve, which is important for fair performance measurement.
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Daniel
9 months ago
That makes sense. It's important for fair performance measurement to consider the differences in patient populations.
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Sueann
9 months ago
I think option B is the correct answer. It helps compensate for any unusual factors in a provider's patient population.
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Noah
9 months ago
B) Help compensate for any unusual factors that may exist in a provider's patient population or in a particular patient
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Natalya
9 months ago
A) Typically are more important in measuring the performance of PCPs than they are in measuring the performance of specialists
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Pedro
10 months ago
Yes, case mix/severity adjustments are crucial for fair performance measurement.
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Rosenda
10 months ago
I think option B is the correct answer.
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