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Medicare+Choice plans. Medicare risk contracting opportunities for provider-sponsored organizations
1Miller & Holguin, Los Angeles, CA 90067, USA.
Abstract:
New federal legislation approves provider sponsored networks as direct contractors with Medicare. To date, financial, licensure and requirements differ, but providers should prepare to enter the new market. Niche physician groups, physician-hospital organizations and physician-HMO alliances are all configurations that should meet federal requirements.
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