Exam AHM-520 Topic 4 Question 68 Discussion

Actual exam question for AHIP's AHM-520 exam
Question #: 68
Topic #: 4

The following statements are about carve-out programs. Three of these statements are true, and one statement is false. Select the answer choice containing the FALSE statement.

A. Typically, a health plan will offer carved-out services to its enrollees, but will manage these services separately. B. The most rapidly growing area related to carve-outs is disease management (DM). C. In the type of carve-out in which entire categories of care are administered by independent organizations, a health plan typically reimburses these organizations under an FFS contract. D. Carve-outs are services that are excluded from a capitation payment, a risk pool, or a health benefit plan.

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