RISK SHARING MECHANISMS i. Rate Development Standards This section provides documentation of the risk-sharing mechanisms in the MyCare Opt-In program.
ii. Appropriate Documentation
RISK SHARING MECHANISMS i. Rate Development Standards
RISK SHARING MECHANISMS i. Rate Development Standards This section provides documentation of the risk-sharing mechanisms in the MMC program, which includes a risk corridor.
ii. Appropriate Documentation
RISK SHARING MECHANISMS. Not applicable to the APSI for the CYE 23 ACC and ACC-RBHA Program rate update.
RISK SHARING MECHANISMS. All applicable risk-sharing mechanisms, such as reinsurance, Risk Corridors, or stop-loss limits, are described in this Contract. See: 42 C.F.R. § 438.6(b)(1). In relation to CHIP rates, the rates are based on public or private payment rates for comparable services for comparable populations, consistent with actuarially sound principles as defined at 42 C.F.R. § 457.10. 42 C.F.R. § 457.1203(a). {From CMSC D.1.03}.
RISK SHARING MECHANISMS. Rate Development Standards Relative to the Original certification, this section provides additional documentation of risk-sharing mechanisms in the MyCare Opt-Out program, which includes the introduction of a risk corridor in the MyCare Opt-Out program. There are no other risk-sharing mechanisms in the MyCare Opt-Out program.
RISK SHARING MECHANISMS. The risk sharing mechanisms remain consistent with those described in the Original certification and do not have an effect on the development of the CY 2022 MyCare Opt-In capitation rates.
RISK SHARING MECHANISMS i. Rate Development Standards Relative to the Original certification, this section provides additional documentation of risk-sharing mechanisms in the MMC program, which includes the introduction of a risk corridor in the MMC program. No changes have been made to the other risk-sharing mechanisms discussed in the Original certification.
ii. Appropriate Documentation
