AHIP Exam AHM-530 Topic 3 Question 98 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 98
Topic #: 3

A health plan has several options for delivering pharmacy services to its subscribers. Each option has potential advantages to a health plan. An advantage to a health plan of using:

Aperformance-based open networks is that they tend to increase participation in the pharmacy network.

Bclosed networks is that they improve the health plan's ability to set standards and implement cost-control programs for pharmacy services.

Ccustomized networks is that they typically are inexpensive to operate.

Dopen networks is that they tend to improve the health plan's ability to control pharmaceutical costs.

Show Suggested Answer

Suggested Answer: B

by Margot at Sep 13, 2024, 04:14 PM

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Reyes

6 months ago

I prefer performance-based open networks, they increase participation in the pharmacy network.

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Thersa

6 months ago

I agree with Marvel, closed networks help in setting standards and controlling costs.

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Marvel

6 months ago

I think using closed networks is the best option.

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Alishia

6 months ago

Haha, I bet the health plan accountants are hoping for option C - 'inexpensive to operate' is music to their ears!

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Eden

6 months ago

I'm going with C. Customized networks are typically less expensive to operate, which could be a significant advantage for the health plan.

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Darrel

5 months ago

True, open networks can also help control pharmaceutical costs.

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Vincent

5 months ago

But closed networks also help with setting standards and controlling costs.

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Walker

6 months ago

I agree, customized networks can definitely be cost-effective.

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Richelle

6 months ago

D seems like the best option to me. Open networks can help control pharmaceutical costs, which is a key priority for health plans.

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Norah

5 months ago

Customized networks may be inexpensive to operate, but they may not offer the same level of cost control as open networks.

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Shannan

5 months ago

True, closed networks can be more structured and controlled.

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Ona

6 months ago

But closed networks also have their advantages, like setting standards and implementing cost-control programs.

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Merissa

6 months ago

I agree, open networks can definitely help control pharmaceutical costs.

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Kenda

6 months ago

I think the correct answer is B. Closed networks allow the health plan to set standards and implement cost-control programs more effectively.

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Kendra

6 months ago

I think open networks can also help control pharmaceutical costs effectively.

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Jacquelyne

6 months ago

I agree, closed networks do help with setting standards and controlling costs.

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