Health Plans Sometimes Use Global Fees to Reimburse Providers

question 19

Multiple Choice

Health plans sometimes use global fees to reimburse providers. Health plans would use this method of provider reimbursement for all of the following reasons EXCEPT that global fees

• A) Eliminate any motivation the providermay have to engage in churning
• B) Transfer some of the risk of overutilization of care from the health plan to the providers
• C) Eliminate the practice of upcoding within specific treatments
• D) Reward providers who deliver cost-effective care

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