AHIP Health Plan Finance and Risk Management AHM-520 Question # 83 Topic 2 Discussion
AHM-520 Exam Topic 2 Question 83 Discussion:
Question #: 83
Topic #: 2
Health plans sometimes use global fees to reimburse providers. Health plans would use this method of provider reimbursement for all of the following reasons EXCEPT that global fees
A.
Eliminate any motivation the providermay have to engage in churning
B.
Transfer some of the risk of overutilization of care from the health plan to the providers
C.
Eliminate the practice of upcoding within specific treatments
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