Question

Which of the following statements about the financial risk to providers under different reimbursement methods is...

Which of the following statements about the financial risk to providers under different reimbursement methods is most correct?

a.

Different payers use different reimbursement methods, so providers face varying levels of risk.

b.

Prospective payment transfers the cost risk (of each reimbursable episode) from insurers to providers.

c.

Capitation transfers both cost risk and utilization risk to providers.

d.

Statements a. and b. are both correct.

e.

Statements a., b., and c. are all correct.

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Answer #1

Answer:

e. Statements a.,b.,and c. Are all correct

Explanation:

Different payers use different reimbursement methods,so providers varying levels of risk.

Prospective payment transfers the cost risk (of each reimbursable episode) from insurers to providers.

Capitation transfers both cost risk and utilization risk to providers.

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