An outlier pool for Medicare HMO payments

Medicare pays “at-risk” health maintenance organizations a prospective capitation amount that is established by the adjusted average per capita cost (AAPCC) formula for estimating the amount enrollees would have cost had they remained in the fee-for-service sector. Because the AAPCC accounts for a v...

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Detalles Bibliográficos
Autor principal: Beebe, James C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1992
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193317/
https://www.ncbi.nlm.nih.gov/pubmed/10124439