Medicare Payment: Risk Basis | Midpage

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Code of Federal Regulations

Subpart P

Medicare Payment: Risk Basis

417.580Basis and scope.417.582Definitions.417.584Payment to HMOs or CMPs with risk contracts.417.585Special rules: Hospice care.417.588Computation of adjusted average per capita cost (AAPCC).417.590Computation of the average of the per capita rates of payment.417.592Additional benefits requirement.417.594Computation of adjusted community rate (ACR).417.596Establishment of a benefit stabilization fund.417.597Withdrawal from a benefit stabilization fund.417.598Annual enrollment reconciliation.