AHIP AHM-530 Exam - Topic 3 Question 52 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 52
Topic #: 3

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 Jaclyn at May 26, 2022, 08:38 AM

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Shanda

4 months ago

Not sure about those capitation rates being higher... sounds off.

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Alecia

5 months ago

Wait, are DSHs really at a higher risk of losing money?

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Fabiola

5 months ago

I think they still get some Medicaid payments, though?

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Josefa

5 months ago

Totally agree, they definitely face more financial challenges.

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Graciela

5 months ago

DSHs get extra funding to support low-income patients.

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Wilford

5 months ago

I vaguely remember that DSHs can receive higher payments, but I’m not clear if that means they get higher capitation rates than the average fee-for-service.

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Janella

5 months ago

I practiced a question similar to this, and I think DSHs might receive payments from Medicaid, but I’m confused about how those payments work with capitation.

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Orville

5 months ago

I’m not entirely sure, but I think DSHs do get some federal support, but I can't recall if that means they don't get state funding.

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Veda

6 months ago

I remember discussing how DSHs are supposed to help hospitals that serve a lot of low-income patients, so I think they might be at a higher risk of operating at a loss.

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Silvana

6 months ago

Accounting seems like a logical choice, but I'm not 100% confident. I'll make a note to double-check my work.

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Franchesca

6 months ago

I thought creating an ACL for TLS 1.3 was important, but I wonder if that's enough by itself for webserver security.

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Chantell

6 months ago

Hmm, I'm not entirely sure, but I think achieving reduced IT burden is more about efficiency than cutting down essential services. Maybe it's option B?

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