AHIP Exam AHM-530 Topic 2 Question 93 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 93
Topic #: 2

The two basic approaches that Medicaid uses to contract with health plans are open contracting and selective contracting. One true statement about these approaches to contracting is that:

AOpen contracting requires health plans to meet minimum performance standards outlined in a state's request for proposal (RFP)

BOpen contracting makes it possible for the Medicaid agency to offer enrollment volume guarantees

CSelective contracting requires any health plan that meets the state's performance standards and the federal Medicaid requirements to enter into a Medicaid contract

DSelective contracting requires health plans to bid competitively for Medicaid contracts

Show Suggested Answer

Suggested Answer: D

by Aimee at Jul 16, 2024, 04:49 PM

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Curt

3 months ago

Haha, this question is a real head-scratcher. I'm just going to close my eyes and point - hopefully I land on the right answer!

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Mica

3 months ago

I'm torn between A and D, but I think I'll go with D. Competitive bidding just seems more fair and efficient than just meeting minimum standards.

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Cristy

2 months ago

But open contracting also has its benefits, like offering enrollment volume guarantees.

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Stephen

2 months ago

I agree, competitive bidding can help ensure that the best health plans are selected.

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Stephaine

4 months ago

I think the answer is B) Open contracting makes it possible for the Medicaid agency to offer enrollment volume guarantees

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Jani

4 months ago

I agree with Toshia. Selective contracting through competitive bidding is the way to go. It ensures the state gets the best value for their Medicaid dollars.

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Maynard

3 months ago

D) Selective contracting requires health plans to bid competitively for Medicaid contracts

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Freeman

3 months ago

C) Selective contracting requires any health plan that meets the state's performance standards and the federal Medicaid requirements to enter into a Medicaid contract

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Thaddeus

3 months ago

Open contracting with enrollment volume guarantees can also be beneficial for Medicaid agencies.

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Sherita

3 months ago

B) Open contracting makes it possible for the Medicaid agency to offer enrollment volume guarantees

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Thaddeus

3 months ago

I agree, it allows for fair competition among health plans to provide the best services.

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Geoffrey

3 months ago

A) Open contracting requires health plans to meet minimum performance standards outlined in a state's request for proposal (RFP)

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Thaddeus

3 months ago

I think selective contracting through competitive bidding is a good way to ensure quality and value.

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Dannie

3 months ago

C) Selective contracting requires any health plan that meets the state's performance standards and the federal Medicaid requirements to enter into a Medicaid contract

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Delisa

4 months ago

B) Open contracting makes it possible for the Medicaid agency to offer enrollment volume guarantees

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Domingo

4 months ago

A) Open contracting requires health plans to meet minimum performance standards outlined in a state's request for proposal (RFP)

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Tuyet

4 months ago

But selective contracting allows any health plan that meets the state's performance standards to enter into a Medicaid contract, so I think it's C)

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Starr

4 months ago

I disagree, I believe the answer is D) Selective contracting requires health plans to bid competitively for Medicaid contracts

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Toshia

4 months ago

Option D makes the most sense to me. Selective contracting requires health plans to bid competitively for Medicaid contracts, which seems like the most logical approach.

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Emilio

3 months ago

I think open contracting also has its benefits, like offering enrollment volume guarantees.

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Mila

4 months ago

I agree, option D does seem like the most logical approach.

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Tuyet

4 months ago

I think the answer is A) Open contracting requires health plans to meet minimum performance standards outlined in a state's request for proposal (RFP)

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