Medicare: Increase in HMO Reimbursement Would Eliminate Potential Savings
HRD-90-38
Published: Nov 01, 1989. Publicly Released: Nov 01, 1989.
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Highlights
Pursuant to a congressional request, GAO reviewed the legislative history of the 95-percent payment rate of the adjusted average per-capita cost (AAPCC) for health maintenance organizations (HMO) with Medicare risk contracts.
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Contractor paymentsCost analysisRisk factorsExcess profitsHealth care servicesHealth insurance cost controlHealth maintenance organizationsMedical services ratesMedicarePublic health legislationService contracts