AHIP Exam AHM-530 Topic 3 Question 85 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 85
Topic #: 3

Medicaid beneficiaries pose a challenge for health plans attempting to establish Medicaid provider networks. Compared to membership in commercial health plans, Medicaid enrollees typically

ARequire access to greater numbers of obstetricians and pediatricians

BHave stronger relationships with primary care providers

CAre less reliant on emergency rooms as a source of first-line care

DNeed fewer support and ancillary services

Show Suggested Answer

Suggested Answer: A

by Avery at Apr 25, 2024, 04:02 PM

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Kathryn

1 months ago

The correct answer is definitely B. Medicaid enrollees are 'Medicaid-bound' to their primary care docs, which is a key consideration for health plans.

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Suzan

1 days ago

No, I believe it's C) Are less reliant on emergency rooms as a source of first-line care

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Arlene

17 days ago

I think the answer is A) Require access to greater numbers of obstetricians and pediatricians

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Quentin

1 months ago

This question is a real 'Medicaid-night-mare' for me! I'm just hoping I don't have to 'Medicaid-it' to the next round.

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Dorothy

1 months ago

D is the way to go! Medicaid members need fewer support services, making it easier for health plans to manage their networks.

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Delsie

3 days ago

D) Need fewer support and ancillary services

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Sylvia

4 days ago

B) Have stronger relationships with primary care providers

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Jolanda

18 days ago

A) Require access to greater numbers of obstetricians and pediatricians

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Kristeen

2 months ago

I'm going with C. Medicaid enrollees are less reliant on the ER for their primary care, which can be a challenge for health plans.

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Wayne

17 days ago

I'm going with C too. Medicaid enrollees are less reliant on emergency rooms for care.

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Essie

24 days ago

I agree with B. They probably have stronger relationships with their primary care providers.

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Rory

26 days ago

I think A is the correct answer. They need access to more obstetricians and pediatricians.

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Torie

2 months ago

Option A seems like the obvious choice to me. Medicaid beneficiaries often require greater access to OBGYNs and pediatricians.

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Veronika

30 days ago

C) Are less reliant on emergency rooms as a source of first-line care

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Avery

1 months ago

Yes, that makes sense. Medicaid beneficiaries often have specific healthcare needs.

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Johanna

2 months ago

A) Require access to greater numbers of obstetricians and pediatricians

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Jaime

2 months ago

Hmm, I think option B is the correct answer. Medicaid enrollees tend to have stronger relationships with their primary care providers compared to commercial plan members.

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