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Medicare Payment: Risk Basis
Law
CFR 42
Public Health
Centers for Medicare & Medicaid Services, Department of Health and Human Services
Medicare Program
Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans
Medicare Payment: Risk Basis
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Section
417.580
Basis and scope.
Section
417.582
Definitions.
Section
417.584
Payment to HMOs or CMPs with risk contracts.
Section
417.585
Special rules: Hospice care.
Section
417.588
Computation of adjusted average per capita cost (AAPCC).
Section
417.590
Computation of the average of the per capita rates of payment.
Section
417.592
Additional benefits requirement.
Section
417.594
Computation of adjusted community rate (ACR).
Section
417.596
Establishment of a benefit stabilization fund.
Section
417.597
Withdrawal from a benefit stabilization fund.
Section
417.598
Annual enrollment reconciliation.