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The Following Statements Are About Carve-Out Programs

Question 27

Multiple Choice

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.


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

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