AHIP Exam AHM-530 Topic 4 Question 95 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 95
Topic #: 4

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:

ARisk pool arrangement

BWithhold arrangement

CCost-shifting arrangement

DBonus pool arrangement

Show Suggested Answer

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

29 days ago

Deandrea: I wish it was a bonus pool arrangement though, extra cash would be nice!

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Luis

30 days ago

User 3: I agree, it's a way to incentivize cost control and quality care.

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Deandrea

1 months ago

User 2: Yeah, that makes sense. They hold back some money to motivate providers to control costs.

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Holley

2 months 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

3 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

3 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.

upvoted 0 times