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AHIP AHM-510 Exam - Topic 1 Question 4 Discussion

Posted by Gregoria on May 08, 2022 at 04:46 PM

One federal law amended the Social Security Act to allow states to set their own qualification standards for HMOs that contracted with state Medicaid programs and revised the requirement that participating HMOs have an enrollment mix of no more than 50% combined Medicare and Medicaid members.

This act, which was the true stimulus for increasing participation by health plans in Medicaid, is called the

Suggested Answer: A

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10 comments · newest first
SH
Shelba 1 year ago
OBRA-81 definitely opened doors for more health plans!
RE
Rebbeca 1 year ago
I thought TEFRA had a bigger impact on Medicaid, but maybe I'm wrong.
MA
Ma 1 year ago
Wait, are we sure it was OBRA-81? Sounds too good to be true.
MO
Mozell 1 year ago
Totally agree, OBRA-81 was a major shift!
DE
Devorah 1 year ago
It's OBRA-81 that changed the game for Medicaid HMOs.
FA
Fabiola 1 year ago
I'm confident this is a true statement. The question is clearly stating that if you need to bring in outside resources for an internal project, then that project is considered "custom software." Straightforward enough.
SE
Serina 1 year ago
Hmm, I'm not sure about this. The question seems to be asking whether the importance of local or centralized staff depends on company policy, but I'm not sure if that's the right way to interpret it. I'll have to think this through a bit more.
CR
Craig 1 year ago
This looks like a security-focused question. I'll need to think about the different ways to restrict access to the databases.
LA
Layla 1 year ago
This looks like a straightforward question on infrastructure automation tools. I'll start by thinking about the key differences between Puppet, Terraform, and Ansible.
TI
Timothy 1 year ago
This seems like a tricky question. I'll need to think through the VXLAN architecture and the different components involved.
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