Medicare risk contracts: the rules for the group market.
Different rules apply when Medicare risk HMOs serve groups of retirees, rather than individuals. Here's what plans can and cannot do in providing coverage to retiree groups.
Matsukane
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UltraLink, Inc., Costa Mesa, CA, USA.
D000368:Aged; D002204:Capitation Fee; D014487:Centers for Medicare and Medicaid Services, U.S.; D006264:Health Benefit Plans, Employee / Q000191:economics / Q000458:organization & administration; D006279:Health Maintenance Organizations / Q000458:organization & administration*; D006801:Humans; D006278:Medicare / Q000191:economics / Q000458:organization & administration*; D011640:Public Policy; D012179:Retirement / Q000191:economics*; D014481:United States