AHIP Exam AHM-540 Topic 5 Question 93 Discussion

Actual exam question for AHIP's AHM-540 exam

Question #: 93
Topic #: 5

The delivery of quality, cost-effective healthcare is a primary goal of both group healthcare and workers' compensation programs. One difference between group healthcare and workers' compensation is that workers' compensation

Aprovides health and disability benefits to employees injured on the job only if the employer is at fault for the injury

Bprovides coverage for a variety of direct and indirect healthcare, disability, and workplace costs

Cmanages costs by including employee cost-sharing features in its benefit design

Dplaces limits on benefits by restricting the amount of benefit payments or the number of covered hospital days or provider office visits

Show Suggested Answer

Suggested Answer: B

by Melda at Jul 16, 2024, 10:40 AM

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Ruthann

7 months ago

This question is as clear as mud. Why can't healthcare and workers' comp just be simple and straightforward?

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Gerald

6 months ago

D) places limits on benefits by restricting the amount of benefit payments or the number of covered hospital days or provider office visits

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Nydia

6 months ago

C) manages costs by including employee cost-sharing features in its benefit design

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Delsie

6 months ago

B) provides coverage for a variety of direct and indirect healthcare, disability, and workplace costs

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Diego

6 months ago

A) provides health and disability benefits to employees injured on the job only if the employer is at fault for the injury

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Dick

7 months ago

A ha! I knew it was B. Workers' comp is all about providing comprehensive coverage for workplace-related healthcare and expenses.

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Isaac

8 months ago

Hmm, I'm torn between B and D. Workers' comp definitely covers more than just the injury, but it also has restrictions on benefits.

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Francoise

7 months ago

D) places limits on benefits by restricting the amount of benefit payments or the number of covered hospital days or provider office visits

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Francoise

7 months ago

B) provides coverage for a variety of direct and indirect healthcare, disability, and workplace costs

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Lynda

8 months ago

That's true, Chantell. Workers' compensation places limits on benefits to control costs, like restricting the amount of benefit payments.

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Barb

8 months ago

D seems like the right answer to me. Workers' compensation programs often have limits on benefits to manage costs.

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Ronald

7 months ago

It's important for workers' compensation to balance providing benefits with controlling costs.

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Margarita

7 months ago

Yes, that's true. It helps manage costs by restricting the amount of benefit payments or covered services.

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Bulah

7 months ago

I agree, workers' compensation programs do often have limits on benefits to control costs.

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Titus

7 months ago

It's important for employers to understand the limitations of workers' compensation when it comes to benefits.

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Junita

8 months ago

That's true, it helps manage costs by restricting the amount of benefit payments or covered services.

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Gianna

8 months ago

I agree, workers' compensation programs do often have limits on benefits to control costs.

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Chantell

8 months ago

I believe workers' compensation also manages costs by including employee cost-sharing features in its benefit design.

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Chery

8 months ago

I think the correct answer is B. Workers' compensation covers a wide range of costs, both direct and indirect, related to workplace injuries.

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Cammy

8 months ago

That's right, it helps manage the financial impact of workplace injuries on both employees and employers.

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Yolande

8 months ago

I agree, workers' compensation does cover a variety of healthcare and workplace costs.

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Ressie

8 months ago

I agree with you, Ressie. Workers' compensation covers not only healthcare costs but also disability and workplace costs.

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Lynda

9 months ago

I think workers' compensation is different from group healthcare because it provides coverage for a variety of costs.

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