Adjusted Community Rate

Adjusted Community Rate

An insurance premium rate used by health maintenance organizations (HMOs) and competitive medical plans (CMPs) with Medicare risk contracts, which is a calculation of the premium the plan would charge for providing exactly the Medicare-covered benefits to a group account, adjusted to allow for the greater intensity and frequency of utilisation by Medicare recipients.
References in periodicals archive ?
adjusted community rate proposals (ACRP) or bids) of at least onethird of participating organizations.
Office of the Inspector General titled Review of the Administrative Cost Component of the Adjusted Community Rate Proposal at Nine Medicare Managed Care Organizations for the 1997 Contract Year.