AHIP Exam AHM-530 Topic 6 Question 102 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 102
Topic #: 6

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 Socorro at Oct 23, 2024, 01:51 AM

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Arthur

20 days ago

I'm going with option B. It just makes the most sense - DSHs serve a higher proportion of low-income patients, so they're more likely to be operating at a loss and need that financial support.

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Ollie

3 days ago

True, but I still think option B is the most likely scenario. DSHs are definitely at a higher risk of operating at a loss.

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Xochitl

5 days ago

That's a good point. It's possible that DSHs could receive higher capitation rates to offset their financial challenges.

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Barrie

8 days ago

But what about option D? Wouldn't DSHs be eligible for higher capitation rates to help cover the costs of caring for low-income patients?

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Cora

12 days ago

I think you're right, option B does make sense. DSHs do serve a higher proportion of low-income patients.

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Dahlia

25 days ago

Haha, I bet the people who wrote this question were just trying to trick us. 'Disproportionate share' - that's gotta be the most confusing term in healthcare policy, right?

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Hmm, I'm not sure about the capitation payment thing. Isn't the whole idea of a DSH that they get direct payments from Medicaid to help cover the cost of indigent care? The capitation thing sounds more like a managed care arrangement.

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Ilene

6 days ago

User 1: DSHs like Preamble receive no payments directly from Medicaid, but rather get a portion of the capitation payment.

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Shaun

7 days 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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Brianne

14 days ago

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

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Lynna

20 days ago

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

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Howard

2 months ago

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

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Shaun

2 months ago

As a DSH, Preamble is definitely at a higher risk of operating at a loss. That's the whole point of the Medicaid DSH program - to support hospitals that serve a disproportionate number of low-income patients.

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Willard

9 days ago

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

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Vonda

14 days 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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Lettie

1 months ago

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

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Lonny

1 months ago

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

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Portia

2 months ago

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

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AHIP Exam AHM-530 Topic 6 Question 102 Discussion

Contribute your Thoughts:

Arthur

Ollie

Xochitl

Barrie

Cora

Dahlia

Justa

Ilene

Shaun

Brianne

Lynna

Howard

Shaun

Willard

Vonda

Lettie

Lonny

Portia