Ama Policy

Actuarially Sound Capitation H-385.933

Risk—Physicians Taking

AMA policy is that it is an unfair business practice for any entity to contract with physicians to provide services when the entity knows or should know that the capitated payment offered is inadequate to pay for the services to be provided.

Policy Timeline

Res. 701, I-00 Reaffirmed: CMS Rep. 6, A-10 Reaffirmed: CMS Rep. 01, A-20