42 C.F.R. §422.300 - Basis and scope
| Cite as | 42 C.F.R. §422.300 |
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6 cases
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Rencare, Ltd. v. Humana Health Plan of Texas, Inc., 04-50087.
...premium fee. See 42 U.S.C. § 1395w-22(a)(1), (a)(3); 42 U.S.C. § 1395w-24; 42 C.F.R. §§ 422.100(c), 422.101-422.102, 422.502(a)(3)(i); 42 C.F.R. §§ 422.300-422.312. M+C organizations receive fixed monthly payments from CMS. 42 U.S.C. § Humana is a Texas HMO under contract with CMS to provid......
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United States Ex Rel. Charles Wilkins v. Group, 10–2747.
...on the plans' enrollees' risk factors and other characteristics rather than paying them a fee for specific services performed. See 42 C.F.R. §§ 422.300 et seq. CMS makes advance monthly payments to participants calculated on the number of enrollees, adjusted to reflect risk and variations i......
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United States v. United Health Grp., Inc., 10-2747
...on the plans' enrollees' risk factors and other characteristics rather than paying them a fee for specific services performed. See 42 C.F.R. §§ 422.300 et seq. CMS makes advance monthly payments to participants calculated on the number of enrollees, adjusted to reflect risk and variations i......
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Yarick v. Pacificare of California, F057032.
...enrolled in respondent's MA plan. In return, respondent must arrange to provide a specified range of services for enrollees. (See 42 C.F.R. § 422.300 et seq. (2008).) Similarly, as relevant in this case, respondent contracts with a physicians group and two hospitals for provision of direct ......
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