Câu 41: AHM-520: Health Plan Finance and Risk Management

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.

1. A. 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. — đáp án hiện tại
2. B. Typically, a health plan will offer carved-out services to its enrollees, but will manage these services separately.
3. C. Carve-outs are services that are excluded from a capitation payment, a risk pool, or a health benefit plan.
4. D. The most rapidly growing area related to carve-outs is disease management (DM).