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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Luisa

1 months ago

I'm just glad I don't have to deal with all these gatekeepers and networks. I'll stick to my trusty old doctor, thank you very much!

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Gwenn

1 months ago

Well, at least she's not stuck with Dr. Lee - I heard he has a terrible bedside manner. Good thing she has Dr. Craig looking out for her.

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Yuette

11 days ago

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

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Dannie

17 days ago

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

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Dorsey

20 days ago

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

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Jennie

2 months 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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Hannah

24 days ago

D) Ultra's network of providers includes Dr. Craig and Dr. Lee but not Arrow Hospital

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Shawn

1 months ago

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

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Ronny

1 months ago

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

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Isaiah

2 months ago

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

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Cathrine

2 months 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

2 months 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

2 months ago

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

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Dahlia

2 months 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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