Managed Care Terminology

• Date: April 06, 2010
• Source: Admin

Accreditation--The process by which an organization recognizes an institution as meeting predetermined standards

Actuarial Soundness-- The requirement that the development of capitation rates meet common actuarial principles and rules.

Adjusted Average Per Capita Cost (AAPCC)--The estimated average fee-for-service cost of Medicare benefits for an individual by county of residence. It is based on the following factors: age, sex, institutional status, Medicaid, disability, and end stage renal disease status. HCFA uses the AAPCCs as a basis for making monthly payments to TEFRA contractors