 | United States - 2000 - 1276 pagini
...compensation arrangement between a Medicare+Choice organization and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services provided with respect to individuals enrolled with the organization under this part. (5) Limitation... | |
 | 1999 - 946 pagini
...incentive plan means any compensation arrangement between an entity and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services furnished with respect to individuals enrolled with the entity. Plan of care means the establishment... | |
 | 1998 - 904 pagini
...incentive plan means any compensation arrangement between an HMO or CMP and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services furnished to Medicare beneficiaries or Medicaid recipients enrolled in the HMO or CMP. Referral services... | |
 | 2000 - 992 pagini
...incentive plan means any compensation arrangement between an entity and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services furnished with respect to individuals enrolled with the entity. Plan of care means the establishment... | |
 | United States - 2007 - 1288 pagini
...compensation arrangement between a Medicare+Choice organization and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services provided with respect to individuals enrolled with the organization under this part. (5) LIMITATION... | |
 | United States. Congress. House. Committee on the District of Columbia - 1994 - 172 pagini
...incentive plan means any compensation arrangement between a contracting organization and a physician group that may directly or Indirectly have the effect of reducing or limiting services provided with respect to enrollees In the organization. 4. In $ 1003.102. paragraph (b) introductory... | |
 | United States. Congress. House. Committee on the District of Columbia - 1994 - 172 pagini
...as any compensation arrangement between an eligible organization and a physician or physician group that may directly or Indirectly have the effect of reducing or limiting aervicea provided with respect to individuals enrolled with the organization. A review end analysis... | |
 | United States. Congress. Senate. Committee on the Budget - 1995 - 1006 pagini
...the amount is greater than $1,000, either the enrollee or the Medicare HMO may seek judicial review. A Medicare HMO may not adopt physician compensation...reducing or limiting services to a specific enrollee. A Medicare HMO terminating its contract with HCFA must arrange for supplementary coverage for its Medicare... | |
 | United States. Congress. Senate. Committee on Finance - 1995 - 586 pagini
...the amount is greater than $1,000, either the enrollee or the Medicare HMO may seek judicial review. A Medicare HMO may not adopt physician compensation...reducing or limiting services to a specific enrollee. A Medicare HMO terminating its contract with HCFA must arrange for supplementary coverage for its Medicare... | |
 | Robert Fabrikant, Paul E. Kalb, Pamela H. Bucy, Mark D. Hopson - 2023 - 1308 pagini
...Incentive Plans are compensation arrangements between an entity and a physician or physician group that "may directly or indirectly have the effect of reducing or limiting services" to enrolled individuals (as through a with-hold, capitation, bonus, or otherwise). 87 Payments from downstream... | |
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For purposes of this subparagraph, the term "physician incentive plan" means any compensation arrangement between an entity and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services provided with... 
