Check Your Contracts for Carve-In Rates
“Carve-ins” are benefits offered to your patients the cost of which are included in your capitation. If you’re financially risk-sharing, that means part of the costs of those carve-ins are are coming out of your pocket. Yet you have no control over how much you pay for those benefits, your Medicare Advantage insurance partner does. And they have many other objectives other than maximizing the value of the...
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