AHIP Health Plan Finance and Risk Management AHM-520 Question # 79 Topic 2 Discussion
AHM-520 Exam Topic 2 Question 79 Discussion:
Question #: 79
Topic #: 2
The following statements are about carve-out programs. Three of these statements are true, and one statement is false. Select the answer choice containing the FALSE statement.
A.
In the type of carve-out in which entire categories of care are administered by independent organizations, a health plan typically reimburses these organizations under an FFS contract.
B.
Typically, a health plan will offer carved-out services to its enrollees, but will manage these services separately.
C.
Carve-outs are services that are excluded from a capitation payment, a risk pool, or a health benefit plan.
D.
The most rapidly growing area related to carve-outs is disease management (DM).
Chosen Answer:
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