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The following statements are about carve-out programs.

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).

AHIP AHM-520 Summary

  • Vendor: AHIP
  • Product: AHM-520
  • Update on: Jan 2, 2026
  • Questions: 215
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