TeachMeFinance.com - explain Licensed By The State As A Risk-Bearing Entity
Licensed By The State As A Risk-Bearing Entity The term 'Licensed By The State As A Risk-Bearing Entity ' as it applies to the area of Medicare in the United States can be defined as ' An entity that is licensed or otherwise authorized by the State to assume risk for offering health insurance or health benefits coverage. The entity is authorized to accept prepaid capitation for providing, arranging, or paying for comprehensive health services under an M+C contract. Designation that an M+C organization has been reviewed and determined 'fully accredited' by a CMS-approved accrediting organization for those standards within the deeming categories that the accrediting organization has the authority to deem'.
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