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To determine fee reimbursements to be paid to physicians, the Triangle Health Plan assigns a weighted value to each medical procedure or service and multiplies the weighted value by a money multiplier. Triangle and the providers negotiate the value of the
Suggested Answer: B
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23 comments · newest first
ER
Ernest
1 month ago
C) partial capitation arrangement doesn’t really apply here. RVS is better.
TA
Tamesha
1 month ago
D) capped fee system is too limiting. RVS allows flexibility.
CH
Chuck
1 month ago
I feel like RVS is the most commonly used. It’s fair for both sides.
NI
Nikita
2 months ago
A) diagnosis-related group (DRG) could also work, but RVS seems more accurate.
CA
Carma
2 months ago
I agree, RVS fits well with weighted values.
EL
Eladia
2 months ago
I think it's B) relative value scale (RVS). It makes sense for negotiations.
WI
Wilda
2 months ago
Plus, it helps in fair reimbursements for complex procedures.
DO
Dottie
2 months ago
Exactly, RVS is more about valuing services individually.
CH
Charlene
2 months ago
True, but it doesn't align with the weighted value concept.
VA
Vallie
3 months ago
What about C) partial capitation? It’s a different approach.
KE
Kenneth
3 months ago
I feel RVS is the best choice too. It’s widely used.
WI
Wilda
3 months ago
A) diagnosis-related group (DRG) could also work, but RVS seems more accurate.
DO
Dottie
3 months ago
I agree, RVS fits well with weighted values.
CH
Charlene
3 months ago
I think it's B) relative value scale (RVS). It makes sense for negotiations.
JI
Jina
3 months ago
I doubt the RVS is the right choice here, seems off.
CR
Cristy
4 months ago
Definitely not a capped fee system, that doesn't fit at all.
DE
Dean
4 months ago
Wait, are they really negotiating values? That's surprising!
RY
Ryan
4 months ago
I think it's more about the diagnosis-related group (DRG) system.
JU
Juan
4 months ago
Sounds like they're using a relative value scale (RVS) for sure.
ET
Ethan
4 months ago
I feel like the partial capitation arrangement could fit, but I can't recall the specifics of how it works in this context.
RA
Raymon
6 months ago
The term "money multiplier" makes me lean towards the capped fee system, but I could be mixing it up with something else we studied.
CH
Christene
6 months ago
I remember practicing a question about DRGs, but I don't think that's what they're using here since it sounds more like a negotiation process.
MA
Mabelle
6 months ago
I think this might relate to the relative value scale, but I'm not entirely sure if that's the right term for the weighted values.