community rating system

(3)For purposes of this subsection, subject to paragraph (4), the term “adjusted community rate” for a service or services means, at the election of a Medicare+Choice organization, either— (A)the rate of payment for that service or services which the Secretary annually determines would apply to an individual electing a Medicare+Choice plan under this part if the rate of payment were determined under a “community rating system” (as defined insection 300e–1(8) of this title, other than subparagraph (C)), or (B)such portion of the weighted aggregate premium, which the Secretary annually estimates would apply to such an individual, as the Secretary annually estimates is attributable to that service or services,


42 USC § 1395w-24(f)(3)

Scoping language

None: Default is title Scope
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