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This table shows that among full dual eligible beneficiaries, higher AAPCC payments make it more likely the beneficiary will join a MA plan relative to FFS-only, but the higher payments have no effect on Medicaid enrollment.
The primary objective for doing so is to examine how the Medicare price (the AAPCC payment rate), the price of substitutes for an HMO Medicare product (specifically the price of a supplemental Medicare insurance policy), and a firm's production in its private market influence its decision-making with respect to the Medicare market.
In the example of Medicare managed care, regional markets are impacted by the HCFA initiative only if there is sufficient arbitrage, from high AAPCC rates, to be had.
In August, AAPCC members elected Marsha Ford, MD, FACMT, AAPCC's president-elect.
In determining cause of death, AAPCC uses a four-point scale called Relative Contribution to Fatality (RCF).
The AAPCC payment methodology explains only about 1-percent of the variation in expenditures for Medicare beneficiaries, and does not pay more for sicker people.
The problem is that, so far, this shift has cost Medicare money because the HMOs get paid 95 percent of the Adjusted Average Per Capita Cost, the so-called AAPCC that Medicare experiences in the elderly beneficiary's county under the current fee-for-service system.
Call to poison control centers involving exposures to e-cigarettes and liquid nicotine increased to 3,831 in 2014 from 1543 in 2013 and 271 in 2011, according to the AAPCC.
On page 1139, the AAPCC report specifically indicates that the iron fatality was not from a nutritional supplement.
The covariates were age, AAPCC rate and county indicator at the observed starting dually eligible month, sex, race, original reasons for Medicare eligibility, prior average yearly utilization, and a vector of binary total dually eligible months observed.
Improving the AAPCC with Health-Status Measures from the MCBS.
The inadequacy of currently employed RACP-formulae can be illustrated by the fact that the AAPCC system used in the U.