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AHIP AHM-530 Exam - Topic 3 Question 85 Discussion

Medicaid beneficiaries pose a challenge for health plans attempting to establish Medicaid provider networks. Compared to membership in commercial health plans, Medicaid enrollees typically
A) Require access to greater numbers of obstetricians and pediatricians
B) Have stronger relationships with primary care providers
C) Are less reliant on emergency rooms as a source of first-line care
D) Need fewer support and ancillary services

AHIP AHM-530 Exam - Topic 3 Question 85 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 85
Topic #: 3
[All AHM-530 Questions]

Medicaid beneficiaries pose a challenge for health plans attempting to establish Medicaid provider networks. Compared to membership in commercial health plans, Medicaid enrollees typically

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Suggested Answer: A

by Avery at Apr 25, 2024, 04:02 PM

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Kimberlie
7 months ago
A is spot on, access to specialists is crucial for Medicaid enrollees.
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Bettyann
7 months ago
D is a stretch, they actually need more support services.
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Micah
7 months ago
Wait, C? I thought Medicaid users relied heavily on ERs!
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Jeannine
7 months ago
I disagree, B seems more accurate. They often have strong ties to their PCPs.
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Kris
8 months ago
A is definitely true, more OBs and peds are needed!
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Irving
8 months ago
I feel like the answer could be A, but I also remember something about how Medicaid patients might have stronger ties to their primary care providers. It's a bit confusing!
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Junita
8 months ago
I practiced a similar question about provider networks, and I think it was mentioned that Medicaid patients often need more pediatricians and obstetricians due to higher birth rates.
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Iola
8 months ago
I'm not entirely sure, but I think Medicaid enrollees might actually rely more on emergency services, which could be the opposite of what the question suggests.
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Lenny
8 months ago
I remember studying that Medicaid beneficiaries often have different needs than those in commercial plans, especially regarding access to specialists.
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Steffanie
8 months ago
I'm feeling pretty confident about this one. Medicaid beneficiaries are generally more reliant on primary care and have fewer resources, so they would need a broader provider network with more support services. I'm going to go with option A.
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Veda
8 months ago
Okay, I've got a strategy here. Medicaid enrollees typically have greater healthcare needs, so health plans would need to ensure access to more specialists like obstetricians and pediatricians. That seems like the most likely answer.
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Luisa
8 months ago
Hmm, I'm a little unsure about this one. I know Medicaid beneficiaries tend to have different healthcare needs, but I'm not sure exactly how that translates to the provider network requirements. I'll have to think this through carefully.
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Therese
9 months ago
This question seems pretty straightforward. I think the key is to focus on the differences between Medicaid enrollees and commercial health plan members.
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Felicitas
9 months ago
Hmm, I'm a bit unsure about this one. I'll need to review my notes on vSphere components and their functions.
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Jose
9 months ago
Hmm, this seems like a tricky one. I'll need to carefully read through the options and think about the relationship between George and John.
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Arlette
9 months ago
Hmm, I'm not sure about this one. Passing data between parallel loops seems like it could be challenging. I'll have to think it through carefully.
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Kathryn
1 year ago
The correct answer is definitely B. Medicaid enrollees are 'Medicaid-bound' to their primary care docs, which is a key consideration for health plans.
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Cletus
12 months ago
I agree, B) Have stronger relationships with primary care providers makes sense
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Shalon
12 months ago
Actually, I think it's B) Have stronger relationships with primary care providers
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Suzan
1 year ago
No, I believe it's C) Are less reliant on emergency rooms as a source of first-line care
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Arlene
1 year ago
I think the answer is A) Require access to greater numbers of obstetricians and pediatricians
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Quentin
1 year ago
This question is a real 'Medicaid-night-mare' for me! I'm just hoping I don't have to 'Medicaid-it' to the next round.
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Dorothy
1 year ago
D is the way to go! Medicaid members need fewer support services, making it easier for health plans to manage their networks.
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Delsie
1 year ago
D) Need fewer support and ancillary services
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Sylvia
1 year ago
B) Have stronger relationships with primary care providers
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Jolanda
1 year ago
A) Require access to greater numbers of obstetricians and pediatricians
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Kristeen
1 year ago
I'm going with C. Medicaid enrollees are less reliant on the ER for their primary care, which can be a challenge for health plans.
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Wayne
1 year ago
I'm going with C too. Medicaid enrollees are less reliant on emergency rooms for care.
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Essie
1 year ago
I agree with B. They probably have stronger relationships with their primary care providers.
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Rory
1 year ago
I think A is the correct answer. They need access to more obstetricians and pediatricians.
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Torie
1 year ago
Option A seems like the obvious choice to me. Medicaid beneficiaries often require greater access to OBGYNs and pediatricians.
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Veronika
1 year ago
C) Are less reliant on emergency rooms as a source of first-line care
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Avery
1 year ago
Yes, that makes sense. Medicaid beneficiaries often have specific healthcare needs.
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Johanna
1 year ago
A) Require access to greater numbers of obstetricians and pediatricians
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Jaime
1 year ago
Hmm, I think option B is the correct answer. Medicaid enrollees tend to have stronger relationships with their primary care providers compared to commercial plan members.
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Patti
1 year ago
I think Medicaid enrollees are less reliant on emergency rooms as a source of first-line care.
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Renea
1 year ago
I disagree, I believe they have stronger relationships with primary care providers.
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Fabiola
1 year ago
I think Medicaid beneficiaries require access to greater numbers of obstetricians and pediatricians.
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