AHM-520 Exam Dumps | The Marble Health Plan sets aside a PMPM amount for each specialty. When a PCP in Marble's provider network

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Question 64/129

The Marble Health Plan sets aside a PMPM amount for each specialty.
When a PCP in Marble's provider network refers a Marble plan member to a specialist and the specialist provides medical services to the member, the specialist begins to receive a share of those funds on a monthly basis. Marble determines the monthly payment for each specialist by dividing the number of active patients for that specialty by the total specialty pool for that month. This form of payment, which is similar to a case rate, is known as

A. Risk pod capitation

B. Retrospective reimbursement capitation

C. Referral circle capitation

D. Contact capitation

Correct Answer: D

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