AHIP Network Management AHM-530 Question # 97 Topic 4 Discussion

AHIP Network Management AHM-530 Question # 97 Topic 4 Discussion

AHM-530 Exam Topic 4 Question 97 Discussion:
Question #: 97
Topic #: 4

The Medicaid program subsidizes indigent care through payments to disproportionate share hospitals (DSHs). The Preamble Hospital is a DSH. As a DSH, Preamble most likely:


A.

Receives financial assistance from the federal government but not a state government.


B.

Is at a higher risk of operating at a loss than are most other hospitals.


C.

Receives no payments directly from Medicaid for services rendered but rather receives a portion of the capitation payment that Medicaid makes to the health plans with which Preamble contracts.


D.

Is eligible for capitation rates that are significantly higher than the FFS average for all covered Medicaid services.


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