AHIP Exam AHM-540 Topic 5 Question 106 Discussion

Actual exam question for AHIP's AHM-540 exam

Question #: 106
Topic #: 5

Access to services is an important issue for both fee-for-service (FFS) Medicaid and managed Medicaid programs. Access to services under managed Medicaid is affected by the

Alack of qualified providers in provider networks

Black of resources necessary to establish case management programs for patients with complex conditions

Cunstable eligibility status of Medicaid recipients

Dinability of Medicaid recipients to change health plans or PCPs

Show Suggested Answer

Suggested Answer: C

by Cordie at Jan 26, 2025, 06:52 PM

Limited Time Offer

25%

Off

Get Premium AHM-540 Questions as Interactive Web-Based Practice Test or PDF

Contribute your Thoughts:

Submit Cancel

Pearly

2 months ago

This is a tricky one! I'd go with A, but I'm just hoping I don't end up in the Medicaid version of the Hunger Games.

upvoted 0 times

Ellen

1 months ago

User2: Yeah, that could definitely be a problem for access to services.

upvoted 0 times

...

Veronika

1 months ago

User1: I think A makes sense, there might not be enough providers in the network.

upvoted 0 times

...

Wayne

2 months ago

B is the answer, no doubt. The lack of resources to establish case management programs is a huge barrier for patients with complex conditions.

upvoted 0 times

...

Glory

2 months ago

Hmm, I'm not sure. I'd say C, the unstable eligibility status of Medicaid recipients, is a big factor. It's like a game of musical chairs, but with healthcare.

upvoted 0 times

Odelia

1 months ago

Yes, it's like a constant uncertainty for Medicaid recipients.

upvoted 0 times

...

Ivory

1 months ago

I agree, the unstable eligibility status definitely plays a big role in access to services.

upvoted 0 times

...

Celestina

1 months ago

D) inability of Medicaid recipients to change health plans or PCPs

upvoted 0 times

...

Amie

1 months ago

C) unstable eligibility status of Medicaid recipients

upvoted 0 times

...

James

1 months ago

B) lack of resources necessary to establish case management programs for patients with complex conditions

upvoted 0 times

...

Krystal

2 months ago

A) lack of qualified providers in provider networks

upvoted 0 times

...

Wilson

3 months ago

I think lack of resources for case management is also a big challenge.

upvoted 0 times

...

Bettina

3 months ago

Yes, that's true. It can lead to disruptions in care.

upvoted 0 times

...

Charlene

3 months ago

D seems like the correct answer to me. The inability of Medicaid recipients to change health plans or PCPs can really limit their access to services.

upvoted 0 times

Harrison

1 months ago

Absolutely, having the ability to change health plans or PCPs can make a big difference in accessing the services they need.

upvoted 0 times

...

Fletcher

1 months ago

That's true, it's important for Medicaid recipients to have the flexibility to choose the best health plan or PCP for them.

upvoted 0 times

...

Albina

2 months ago

Yes, it can definitely limit their access to services if they are stuck with a plan or PCP that doesn't meet their needs.

upvoted 0 times

...

Blossom

2 months ago

I agree, it can be really frustrating for Medicaid recipients to not be able to change health plans or PCPs.

upvoted 0 times

...

Celeste

3 months ago

I think the answer is A. The lack of qualified providers in provider networks is a major issue for access to services under managed Medicaid.

upvoted 0 times

Fausto

2 months ago

User 2: It's definitely a big challenge for managed Medicaid programs.

upvoted 0 times

...

Fidelia

2 months ago

User 1: I agree, the lack of qualified providers can really impact access to services.

upvoted 0 times

...

Charlena

3 months ago

I believe unstable eligibility status of recipients also plays a role.

upvoted 0 times

...

Wilson

3 months ago

I agree, lack of qualified providers can be a barrier to care.

upvoted 0 times

...

Bettina

3 months ago

I think access to services is a crucial issue in Medicaid.

upvoted 0 times

...