AHIP Exam AHM-530 Topic 6 Question 105 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 105
Topic #: 6

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 Iluminada at Jan 12, 2025, 10:59 AM

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Jacquelyne

2 months ago

E) The health plan's network management team should be like a well-oiled machine - with lots of gears and cogs working together seamlessly. Or maybe just a tangled web of confusion, who knows?

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Avery

2 months ago

D) That's a bit rigid. Health plans should use the approach that works best for each activity.

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Kayleigh

2 months ago

C) I agree, the provider reps' main job is educating providers, not just recruiting them.

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Joana

11 days ago

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Lashunda

12 days ago

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Tequila

27 days ago

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Ruthann

2 months ago

B) Placing provider reps at HQ seems inefficient. They should be close to the providers they work with.

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Rosalyn

26 days ago

C) An 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.

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Coral

1 months ago

B) Placing provider reps at HQ seems inefficient. They should be close to the providers they work with.

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Graham

2 months ago

A) Compared to a large health plan, a small health plan typically has more integration among its network management activities and less specialization of roles.

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