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Exam AHM-520 topic 1 question 186 discussion

Actual exam question from AHIP's AHM-520
Question #: 186
Topic #: 1
[All AHM-520 Questions]

With regard to capitation arrangements for hospitals, it can correctly be Back to Top stated that:

  • A. The most common reimbursement method for hospitals is professional services capitation
  • B. Most jurisdictions prohibit hospitals and physicians from joining together to receive global capitations that cover institutional services provided by the hospitals
  • C. A health plan typically can capitate a hospital for outpatient laboratory and X-ray services only if the health plan also capitates the hospital for inpatient care
  • D. Many hospitals have formed physician hospital organizations (PHOs), hospital systems, or integrated delivery systems (IDSs) that can accept global capitation payments from health plans
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Suggested Answer: D 🗳️
by gemazyni at April 5, 2025, 3:09 p.m.

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