California
§ 56322.1. Savings Sharing.
1 provisions · California regulatory authority
Provisions
Citable source units
22 CCR 56322.1Value Based ArrangementsReimbursement Payment
Savings Sharing.
Requires calculation and disbursement of PCCM savings sharing by comparing expected fee-for-service costs, capitation payments, and actual costs under the contract.
Group
Payment Program Integrity
Category
Value Based Arrangements
Domain
Billing Reimbursement
Topics
PCCM savings sharing, Shared savings methodology, Capitation cost comparison