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Question ID 21640

Access to services is an important issue for both fee-for-service (FFS) Medicaid and
managed Medicaid programs. Access to services under managed Medicaid is affected by
the

Option A

lack of qualified providers in provider networks

Option B

 lack of resources necessary to establish case management programs for patients with complex conditions

Option C

unstable eligibility status of Medicaid recipients

Option D

inability of Medicaid recipients to change health plans or PCPs

Correct Answer C
Explanation


Question ID 21641

One method of transferring the information in electronic medical records (EMRs) is through
a health information network (HIN). The following statements are about HINs. Three of the
statements are true and one is false. Select the answer choice containing the FALSE
statement.

Option A

 A HIN may afford a health plan better measurements of outcomes and provider performance.

Option B

 The use of a HIN typically increases a health plan’s exposure to liability for poor care.

Option C

 Most HINs are Internet-based rather than built on proprietary computer networks.

Option D

Currently, the majority of health plans do not have HINs that are capable of transferring medical records among their network providers.

Correct Answer B
Explanation

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