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AHIP AHM-530 Exam - Topic 2 Question 123 Discussion

The following statements are about the organization of network management functions of health plans. Select the answer choice containing the correct response:
A) Compared to a large health plan, a small health plan typically has more integration among its network management activities and less specialization of roles.
B) It is usually more efficient to have a large health plan's provider relations representatives located in the health plan's corporate headquarters rather than based in regional locations that are close to the provider offices the representatives cover.
C) An health plan's provider relations representatives are usually responsible for conducting an initial orientation of providers and educating providers about health plan developments, rather than recruiting and assisting with the selection of new providers.
D) In general, a health plan that uses a centralized approach for some of its network management activities should not use a decentralized approach for other network management activities.

AHIP AHM-530 Exam - Topic 2 Question 123 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 123
Topic #: 2
[All AHM-530 Questions]

The following statements are about the organization of network management functions of health plans. Select the answer choice containing the correct response:

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Suggested Answer: A

by Fernanda at Mar 31, 2026, 08:03 PM

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Alysa
1 month ago
I disagree, larger plans can integrate too!
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Novella
2 months ago
A small health plan really does have more integration, it's true.
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Tiara
2 months ago
I vaguely remember something about efficiency in large health plans, but I'm not convinced that B is right. It feels off to me.
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Rodolfo
2 months ago
I feel like the centralized vs. decentralized approach was a topic we covered, but I can't recall the specifics on D. It seems a bit contradictory.
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Malcom
3 months ago
I think I saw a practice question about provider relations representatives, and it mentioned their role in recruiting, which makes me question C.
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Grover
3 months ago
I remember studying how smaller health plans often have less specialization, so A seems like it could be correct, but I'm not entirely sure.
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