AHIP Exam AHM-530 Topic 5 Question 84 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 84
Topic #: 5

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 Candida at Apr 13, 2024, 07:43 AM

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Deeanna

6 months ago

I'm not sure, but I think D makes the most sense.

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Jacob

6 months ago

I'm leaning towards A actually.

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Dewitt

6 months ago

I have to go with B on this one.

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Della

6 months ago

I disagree, I believe the answer is D.

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Shaunna

7 months ago

I think the answer is C.

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Dalene

7 months ago

Yes, that's true. But it's still a challenging financial situation for DSHs.

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Nickie

7 months ago

But doesn't being a DSH also mean they receive additional payments from the government to help offset those costs?

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Silva

7 months ago

I agree with you. DSHs often serve a high number of uninsured and Medicaid patients, which can strain their finances.

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Dalene

7 months ago

I think the answer is B) Is at a higher risk of operating at a loss than are most other hospitals.

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Ooh, that's a good point. I hadn't considered the capitation angle. But then again, I thought DSHs didn't get direct Medicaid payments, they just got a share of the overall pool of DSH funds. So maybe C is the way to go?

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Quentin

8 months ago

Hmm, I'm not so sure about that. I was thinking maybe answer D, that DSHs are eligible for higher capitation rates from Medicaid. That would make sense to help cover their increased costs, right?

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Orville

8 months ago

Yeah, no kidding. But I think that's the whole point of the DSH program - to help offset the financial burden on hospitals that are caring for the most vulnerable patients. I'm leaning towards answer B, that DSHs are at higher risk of operating at a loss.

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Leanna

8 months ago

Haha, I bet the insurance companies love dealing with DSHs. Probably a lot of red tape and bureaucracy involved in getting those payments.

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Derrick

8 months ago

I agree, this is definitely a tricky one. From what I know, DSHs are hospitals that serve a significantly higher proportion of low-income patients, so they're more likely to operate at a loss. But I'm not sure about the specifics of the payments they receive.

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Cheryll

8 months ago

Hmm, this question is asking about the Medicaid program and how it relates to disproportionate share hospitals (DSHs). I think the key is understanding what a DSH is and how it differs from other hospitals in terms of government assistance and financial risk.

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Anglea

6 months ago

Not exactly. DSHs typically receive more funding from the federal government, not the state.

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Louann

6 months ago

So, does that mean Preamble receives financial assistance from both the federal and state government?

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Juliana

6 months ago

Yeah, DSHs receive payments from the Medicaid program for indigent care.

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Tamala

6 months ago

I think the Preamble Hospital is a DSH.

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AHIP Exam AHM-530 Topic 5 Question 84 Discussion

Contribute your Thoughts:

Deeanna

Jacob

Dewitt

Della

Shaunna

Dalene

Nickie

Silva

Dalene

Fannie

Quentin

Orville

Leanna

Derrick

Cheryll

Anglea

Louann

Juliana

Tamala