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

Terms Used In CFR > Title 42 > Chapter IV > Subchapter B > Part 417 > Subpart P - Medicare Payment: Risk Basis

  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Contract: A legal written agreement that becomes binding when signed.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.