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EFFECTS OF RISK POOL CHOICES
SCOPE AND NATURE OF THE STANDARD
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98th Congress AAPCC adjust future prices administrative alternative capitated payment carriers choices cian Congress control volume conversion factor Cost Control delivery organizations effective fee schedule financial incentive global standard Group Members group practice Group-specific VPSs growth rate targets HCFA Health Care Financing Health Maintenance Organizations healthy patients HMOs incentive to control incentives for cost increase independent practice association individual physicians IPAs issue limited Measuring performance Medicaid Medicare beneficiaries Medicare fee monitor negotiations option overutilize payment ceilings payment system payment updates peer pressure physi physician behavior physician group physician services population Potential Adverse Consequences PPRC practice patterns preferred provider Preferred Provider Organization rate of growth RBRVS referral response rience risk group risk pool scope and nature scope of services services provided Setting separate standards specialty societies state-level VPSs subnational tion tive types of service utilization review variation volume of services volume performance standards VPS policy