Capitated Services. Services performed for a Member by a health care provider with whom the Plan has a contract, directly or indirectly, and where the contract transfers from the Plan the entire risk (without any stop loss or other risk retention by the Plan) that the service may generate a cost greater than the capitation payment.
Appears in 2 contracts
Sources: Reinsurance Agreement (Long Island Physician Holdings Corp), Reinsurance Agreement (Long Island Physician Holdings Corp)