AHIP Exam AHM-530 Topic 2 Question 108 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 108
Topic #: 2

The Bruin Health Plan is a Social Health Maintenance Organization (SHMO). As an SHMO, Bruin:

AMust provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits

BDoes not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO

CReceives a payment that is based on reasonable costs and reasonable charges

DMost likely provides fewer supportive services than does a traditional HMO, because one of Bruin's goals is to minimize the use of community-based care

Show Suggested Answer

Suggested Answer: A

by Mammie at Mar 09, 2025, 12:34 AM

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Royal

3 months ago

I bet the instructor is just trying to trip us up with these answer choices. But A is the clear winner here, no matter how you slice it.

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Douglass

1 months ago

I'm leaning towards A as well. It seems like the most logical option.

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Justine

2 months ago

I'm not so sure, I think C might be the correct answer.

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Salome

2 months ago

I think A is the best choice too. It makes the most sense.

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Glenna

3 months ago

B and D sound like they're describing a regular HMO, not an SHMO. A is the only answer that really captures the unique aspects of a Social Health Maintenance Organization.

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Barbra

3 months ago

Ah, the classic SHMO question. I remember getting stumped on this one during my last exam. Good thing I brushed up on my SHMO knowledge!

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Trinidad

2 months ago

C) Receives a payment that is based on reasonable costs and reasonable charges

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Glory

2 months ago

B) Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO

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Maryln

3 months ago

A) Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits

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Hildegarde

3 months ago

I was leaning towards C, but I think A is the better choice here. The payment method is not the defining feature of an SHMO.

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Catrice

2 months ago

I agree, A seems like the better choice in this case.

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Xenia

2 months ago

B) Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO

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Renay

3 months ago

A) Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits

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Sharen

3 months ago

The correct answer is A. SHMOs must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits. This is a key characteristic of these organizations.

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Laine

2 months ago

D) Most likely provides fewer supportive services than does a traditional HMO, because one of Bruin's goals is to minimize the use of community-based care

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