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AHIP Exam AHM-530 Topic 6 Question 102 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 102
Topic #: 6
[All AHM-530 Questions]

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:

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Suggested Answer: B

by Socorro at Oct 23, 2024, 01:51 AM

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Arthur
4 months 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
4 months 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
4 months 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
4 months 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
4 months 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
4 months 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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Justa
4 months ago
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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Annice
3 months ago
User 4: Yeah, it's a tough situation for hospitals like Preamble that provide a lot of care to low-income patients.
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Brett
3 months ago
User 3: DSHs are definitely at a higher risk of operating at a loss compared to other hospitals.
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Eliseo
3 months ago
User 2: That's interesting, I thought they would get direct payments from Medicaid for indigent care.
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Ilene
4 months 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
4 months 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
4 months ago
B) Is at a higher risk of operating at a loss than are most other hospitals.
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Lynna
4 months ago
A) Receives financial assistance from the federal government but not a state government.
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Howard
5 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
5 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
4 months 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
4 months 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
4 months ago
B) Is at a higher risk of operating at a loss than are most other hospitals.
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Lonny
5 months ago
A) Receives financial assistance from the federal government but not a state government.
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Portia
5 months ago
I think the answer is B. DSHs are usually at a higher risk of operating at a loss.
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