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AHIP Exam AHM-530 Topic 2 Question 77 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 77
Topic #: 2
[All AHM-530 Questions]

As an authorized Medicare+Choice plan, the Brightwell HMO must satisfy CMS requirements regulating access to covered services. In order to ensure that its network provides adequate access, Brightwell must

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Suggested Answer: A

by Cecilia at Nov 22, 2023, 04:33 PM

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Sharan
1 months ago
Option A sounds like it gives a lot of freedom to the enrollees, but I'm not sure that's the best way to ensure adequate access. Shouldn't Brightwell be the one making those decisions?
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Meghann
1 days ago
User 4: Yeah, having requirements based on licenses makes sense.
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Amber
2 days ago
User 3: Option B seems like it would ensure providers meet certain standards.
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Lisha
2 days ago
User 2: I agree, having the choice could lead to better outcomes for the enrollees.
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Jessenia
3 days ago
User 2: I agree, but maybe Brightwell should have more control over access.
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Timothy
7 days ago
User 1: Option A sounds good, it lets enrollees choose their provider.
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Trinidad
27 days ago
User 1: Option A does give a lot of freedom to enrollees, but it could also help ensure they receive care from the most appropriate provider.
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Eden
1 months ago
Haha, Option D is a classic trick question! Requiring prior authorization for emergency services would be a big no-no.
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Antonette
2 months ago
But C makes more sense because it ensures access based on community patterns of care.
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Dell
2 months ago
I disagree, I believe the answer is A.
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Ciara
2 months ago
I'm not sure about Option B. Basing provider participation on their license or certification doesn't necessarily guarantee adequate access, does it?
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Maryln
19 days ago
User 4: Option C could also be important, defining service areas based on community patterns of care can help ensure access for enrollees.
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Justine
28 days ago
User 3: I'm not sure about Option B either, it might not be the best way to guarantee access to covered services.
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Florencia
1 months ago
User 2: I agree, having options for primary care providers can help ensure access to necessary services.
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Diego
1 months ago
User 1: I think Option A is important because it gives enrollees choices for their primary care provider.
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Charolette
2 months ago
Option C seems like the most logical choice. Defining the service area according to community patterns of care ensures that the network is accessible to the target population.
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Antonette
2 months ago
I think the answer is C.
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