Discuss AHIP AHM-530 Exam Topic 2 Question 123

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

ACompared to a large health plan, a small health plan typically has more integration among its network management activities and less specialization of roles.

BIt 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.

CAn 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.

DIn 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.

Suggested Answer: A

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12 comments · newest first

Luther 3 months ago

C makes sense. Orientation is key for new providers.

Veronika 4 months ago

I disagree, A seems too simplistic. Large plans have more resources.

Ashanti 4 months ago

I think A is correct. Smaller plans need to be more integrated.

Deonna 4 months ago

Definitely agree that location matters for provider relations reps.

Heidy 4 months ago

Surprised to hear that about centralized vs decentralized approaches!

Rory 4 months ago

I've seen provider reps do both orientation and recruitment.

Alysa 6 months ago

I disagree, larger plans can integrate too!

Novella 6 months ago

A small health plan really does have more integration, it's true.

Tiara 7 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.

Rodolfo 7 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.

Malcom 7 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.

Grover 7 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.

AHIP AHM-530 Exam - Topic 2 Question 123 Discussion