AHIP Exam AHM-520 Topic 5 Question 81 Discussion

Actual exam question for AHIP's AHM-520 exam

Question #: 81
Topic #: 5

The physicians who work for the Sunrise Health Plan, a staff model HMO, are paid a salary that is not augmented with another type of incentive plan. Compared to the use of a traditional reimbursement method, Sunrise's use of a salary reimbursement method is more likely to

AEncourage Sunrise's physicians to perform services that are not medically necessary

BCompletely eliminate service risk for Sunrise's physicians

CDecrease Sunrise's liability for any negligent acts of the physicians in the plan's network of providers

DHelp stabilize expenses for Sunrise

Show Suggested Answer

Suggested Answer: B

by Mozell at Feb 13, 2024, 10:17 AM

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Rosendo

1 days ago

B is a bit too extreme. Even with a salary, physicians still have a professional obligation to provide appropriate care. Sunrise's liability wouldn't completely disappear just because they use a salaried model.

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Yuki

4 days ago

I agree with Paris. Salaried physicians have no financial incentive to over-prescribe, so D is the best choice here. Heck, they might even start prescribing 'naps' as a treatment, saving the plan tons of money!

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Aimee

6 days ago

I think A is a plausible answer too. Salaried physicians might have less motivation to keep costs down and could potentially perform unnecessary services.

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Jesusita

10 days ago

But wouldn't it also decrease Sunrise's liability for any negligent acts of the physicians in the plan's network of providers?

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Paris

10 days ago

The correct answer is D. Paying physicians a salary helps stabilize expenses for Sunrise Health Plan, as they don't have the incentive to perform unnecessary services like in a traditional reimbursement model.

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Jolene

12 days ago

I agree with Eleni. It makes sense that a fixed salary would provide more predictability in terms of expenses.

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Eleni

14 days ago

I think the salary reimbursement method would help stabilize expenses for Sunrise.

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