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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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| Formato: | Online Artículo Texto |
| Lenguaje: | English |
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CENTERS for MEDICARE & MEDICAID SERVICES
1992
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| Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193317/ https://www.ncbi.nlm.nih.gov/pubmed/10124439 |