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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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| Format: | Artigo |
| Sprache: | Inglês |
| Veröffentlicht: |
CENTERS for MEDICARE & MEDICAID SERVICES
1992
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| Schlagworte: | |
| Online Zugang: | https://ncbi.nlm.nih.gov/pmc/articles/PMC4193317/ https://ncbi.nlm.nih.gov/pubmed/10124439 |
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