AHIP AHM-530 Exam - Topic 2 Question 123 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 123
Topic #: 2

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.

Show Suggested Answer

Suggested Answer: A

by Fernanda at Mar 31, 2026, 08:03 PM

Limited Time Offer

25%

1 month 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.

upvoted 0 times

...