Changes

PHYSICIAN INCENTIVE PLAN

3 bytes added, 15:22, 18 February 2015
Any compensation arrangement at any contracting level between an MCO and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services furnished to [[Medicare]] or [[Medicaid]] enrollees in the MCO. MCOs must disclose physician incentive plans between the MCO itself and individual physicians and groups and, also, between groups or intermediate entities (e.g., certain IPAs, Physician-Hospital Organizations) and individual physicians and groups.   See [[42 C.F.R. 422.208]].
Bureaucrat, administrator
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