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AHIP AHM-530 Exam - Topic 4 Question 70 Discussion

The Pine Health Plan has incorporated pharmacy benefits management into its operations to form a unified benefit. Potential advantages that Pine can receive from this action include:
D) all of the above
A) the fact that unified benefits improve the quality of patient care and the value of pharmacy services to Pine's plan members
B) the fact that control over the formulary and network contracting can give Pine control over patient access to prescription drugs and to pharmacies
C) the fact that managing pharmacy benefits in-house gives Pine a better chance to meet customer needs by integrating pharmacy services into the plan's total benefits package

AHIP AHM-530 Exam - Topic 4 Question 70 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 70
Topic #: 4
[All AHM-530 Questions]

The Pine Health Plan has incorporated pharmacy benefits management into its operations to form a unified benefit. Potential advantages that Pine can receive from this action include:

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Suggested Answer: D

by Hermila at May 28, 2023, 06:13 AM

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Pamella
7 months ago
I thought managing pharmacy benefits was more complicated than that.
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Rex
8 months ago
All of the above sounds right to me!
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Aretha
8 months ago
Wait, can they really meet all customer needs just by managing in-house?
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Donte
8 months ago
Totally agree, having control over the formulary is a game changer.
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Natalya
8 months ago
Unified benefits really do improve patient care!
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Amie
8 months ago
I'm torn between B and C, but I guess D could be the safest choice since it covers all bases.
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Marget
8 months ago
I practiced a similar question about integrated services before, and I feel like managing pharmacy benefits in-house could really help meet customer needs.
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Robt
8 months ago
I think control over the formulary is really important. It seems like it could definitely impact patient access to medications.
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Ronny
9 months ago
I remember discussing how unified benefits can enhance patient care, but I'm not entirely sure if that's the main advantage here.
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Kimbery
9 months ago
Personas? I don't think that's the main output. Schedules, use cases, and stories all sound more likely. I'll have to think this through carefully.
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Tegan
9 months ago
I'm a little confused by the wording of these options. I'm not entirely sure what "C-root" and "MVPN" refer to, so I'm having trouble deciding between the answers. I might need to review some more background information before answering this.
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Vallie
9 months ago
This looks straightforward. I'll carefully read the question and options, then select the one that puts the query into separate lines using pipes.
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Leslee
9 months ago
I'm not entirely sure about A. I thought the internal controls are usually designed by management, but the audit committee has a role in reviewing them.
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Kindra
9 months ago
Hmm, I'm not entirely sure about this. I'll need to review the RDS documentation to see what the access options are for different deployment scenarios.
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