insurance risk
Defined in 1 place of the United States Code.
The term “insurance risk” means, with respect to a participating pharmacy, risk of the type commonly assumed only by insurers licensed by a State and does not include payment variations designed to reflect performance-based measures of activities within the control of the pharmacy, such as formulary compliance and generic drug substitution.
Source
- 2003–present42 U.S.C. § 1395WThe Public Health and Welfare · Definitions; treatment of references to provisions in part C · for purposes of this part