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AHIP Exam AHM-530 Topic 4 Question 95 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 95
Topic #: 4
[All AHM-530 Questions]

Under the compensation arrangement that the Falcon Health Plan has with some of its providers, Falcon holds back 10% of the negotiated payments to these providers in order to offset or pay for any claims that exceed the budgeted costs for referral or hospital services. If the providers keep costs within the budgeted amount, Falcon distributes to them the entire amount of money held back. This way of motivating providers to control costs while providing high-quality, appropriate care is known as a:

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Suggested Answer: B

by Yvette at Aug 25, 2024, 10:55 PM

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Frederica
2 months ago
Hold up, did someone say 'bonus pool'? Where do I sign up? I'm all about that extra cash!
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Ettie
6 days ago
Deandrea: I wish it was a bonus pool arrangement though, extra cash would be nice!
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Luis
7 days ago
User 3: I agree, it's a way to incentivize cost control and quality care.
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Deandrea
13 days ago
User 2: Yeah, that makes sense. They hold back some money to motivate providers to control costs.
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Holley
24 days ago
I think the answer is B) Withhold arrangement.
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Filiberto
2 months ago
Ooh, I like the sound of the bonus pool arrangement! Rewarding providers for keeping costs in check and delivering high-quality care is a great idea.
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Malinda
2 months ago
I agree, the withhold arrangement is a smart approach. It aligns the interests of the providers with the goals of the health plan.
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Luz
2 months ago
The withhold arrangement seems like a clever way to incentivize providers to keep costs down. It's a win-win for both the health plan and the providers.
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Izetta
1 months ago
C) Cost-shifting arrangement
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Veronique
1 months ago
B) Withhold arrangement
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Marilynn
1 months ago
D) Bonus pool arrangement
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Shoshana
1 months ago
C) Cost-shifting arrangement
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Ligia
1 months ago
A) Risk pool arrangement
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Magda
2 months ago
B) Withhold arrangement
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Sheridan
2 months ago
A) Risk pool arrangement
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Nidia
2 months ago
I believe it's B) Withhold arrangement because it specifically mentions holding back a portion of payment to offset costs.
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Deangelo
2 months ago
I'm not sure, but I think it could also be A) Risk pool arrangement.
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Gladys
3 months ago
I agree with Cristal, it makes sense to hold back some payment to incentivize providers to control costs.
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Cristal
3 months ago
I think the answer is B) Withhold arrangement.
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