Answer the following statements true (T) or false (F)

1. The Medicare Shared Savings Program is the most well-known and standardized example of value-based reimbursement.
2. Under a managed care contract with a capitation reimbursement method, the provider is paid a PMPM fee for each enrolled member regardless of services provided.
3. A patient's out-of-pocket expenses include deductibles, coinsurance, and copayments.
4. A patient is expected to pay for services excluded from his or her insurance policy at the time the service is rendered.
5. EOB notifications are issued in the same format by all insurance carriers.


1. TRUE
2. TRUE
3. TRUE
4. TRUE
5. FALSE

Health Professions

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