AHIP Exam AHM-250 Topic 6 Question 87 Discussion

Actual exam question for AHIP's AHM-250 exam

Question #: 87
Topic #: 6

Natalie Chan is a member of the Ultra Health Plan, a health plan. Whenever she needs nonemergency medical care, she sees Dr. David Craig, an internist. Ms. Chan cannot self-refer to a specialist, so she saw Dr. Craig when she experienced headaches. Dr. Cr

AWithin Ultra's system, Ms. Chan received primary care from both Dr. Craig and Dr. Lee

BUltra's system allows its members open access to all of Ultra's participating providers.

CWithin Ultra's system, Dr. Craig serves as a coordinator of care or gatekeeper for the medical services that Ms. Chan receives.

DUltra's network of providers includes Dr. Craig and Dr. Lee but not Arrow Hospital

Show Suggested Answer

Suggested Answer: A

by Ronnie at May 12, 2024, 01:20 PM

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Jennie

2 days ago

Haha, I hope Dr. Craig doesn't have a long waiting list, or Ms. Chan might be stuck with those headaches for a while!

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Cathrine

3 days ago

I agree, option C makes the most sense. The question clearly states that Ms. Chan cannot self-refer to a specialist, so Dr. Craig must be serving as a coordinator of her care.

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Bettina

8 days ago

I'm not sure, but I think the answer might also be A, as Ms. Chan receives primary care from both Dr. Craig and Dr. Lee.

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Jesus

10 days ago

I agree with Willow, Dr. Craig coordinates Ms. Chan's care within Ultra's system.

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Dahlia

11 days ago

The correct answer here is C. Ultra's system requires members to go through a primary care provider like Dr. Craig as a gatekeeper before accessing specialist care.

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