AHIP Exam AHM-530 Topic 3 Question 92 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 92
Topic #: 3

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:

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

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

CReceives 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.

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

Show Suggested Answer

Suggested Answer: B

by Antonio at Jul 08, 2024, 01:10 AM

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Willetta

4 months ago

Hmm, I'm stumped. Maybe I should have paid more attention in that Medicaid lecture. *laughs* Guess I'll just have to wing it on this one.

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Arthur

4 months ago

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.

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Josephine

4 months ago

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

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Jerry

4 months ago

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

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Lashon

5 months ago

This is a tough one, but I'm going to go with C. Preamble probably gets a cut of the capitation payment rather than direct Medicaid reimbursement.

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Mindy

3 months ago

Yeah, it makes sense that they don't receive direct payments from Medicaid.

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Allene

3 months ago

I agree, they probably get a portion of the capitation payment.

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Janessa

4 months ago

I think Preamble is eligible for higher capitation rates.

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Lezlie

4 months ago

I agree, it seems like C is the most likely option for a DSH like Preamble.

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Aron

4 months ago

Yeah, that makes sense. They contract with health plans, so they might not get direct Medicaid payments.

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Alpha

4 months ago

I think Preamble Hospital probably gets a cut of the capitation payment.

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Keshia

5 months ago

Hmm, that's a good point. I see where you're coming from.

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Domonique

5 months ago

I don't know, this question seems a bit tricky. I'm leaning towards D, but I'm not totally sure.

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Dana

4 months ago

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

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Felicitas

4 months ago

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

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Augustine

5 months ago

I disagree, I believe the answer is D. DSHs are eligible for higher capitation rates for Medicaid services.

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Serina

5 months ago

Option B seems the most likely. DSHs typically operate with higher costs due to the population they serve, so they are at a higher risk of losses.

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Jestine

4 months ago

It's important for DSHs to receive support to continue providing care to indigent populations.

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Wai

4 months ago

It makes sense that they would need financial assistance to cover those costs.

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Christiane

5 months ago

DSHs definitely have higher costs, so operating at a loss is a real risk.

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Roxane

5 months ago

I agree, option B does seem like the most likely choice.

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Keshia

5 months ago

I think the answer is B. DSHs are usually at a higher risk of operating at a loss.

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