AHIP Exam AHM-530 Topic 3 Question 85 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 85
Topic #: 3

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

ARequire access to greater numbers of obstetricians and pediatricians

BHave stronger relationships with primary care providers

CAre less reliant on emergency rooms as a source of first-line care

DNeed fewer support and ancillary services

Show Suggested Answer

Suggested Answer: A

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

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Kathryn

14 days 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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Arlene

2 days ago

I think the answer is A) Require access to greater numbers of obstetricians and pediatricians

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Quentin

21 days 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

23 days 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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Jolanda

3 days ago

A) Require access to greater numbers of obstetricians and pediatricians

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Kristeen

30 days 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

14 hours ago

I'm going with C too. Medicaid enrollees are less reliant on emergency rooms for care.

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Essie

8 days ago

I agree with B. They probably have stronger relationships with their primary care providers.

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Rory

10 days ago

I think A is the correct answer. They need access to more obstetricians and pediatricians.

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Torie

2 months 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

14 days ago

C) Are less reliant on emergency rooms as a source of first-line care

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Avery

20 days ago

Yes, that makes sense. Medicaid beneficiaries often have specific healthcare needs.

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Johanna

1 months ago

A) Require access to greater numbers of obstetricians and pediatricians

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Jaime

2 months 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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