{"data":{"id":"us/42-cfr-417.582","jurisdiction":"us","citation":"42 CFR 417.582","heading":"Definitions.","body":"As used in this subpart—\nAAPCC stands for adjusted average per capita cost.\nACR stands for adjusted community rate.\nActuarial factors means factors such as the age, sex, and disability level distribution of the population and any other relevant factors that CMS determines have a significant effect on the level of utilization and cost of health services.\nAPCRP stands for average of per capita rates of payment.\nClass of Medicare enrollees means a group of Medicare enrollees of an HMO or CMP that CMS constructs on the basis of actuarial factors.\nSimilar area means an area similar to the HMO's or CMP's geographic area but free from special characteristics that would distort the determination of the AAPCC.\nU.S. per capita incurred cost means the average per capita cost, including intermediary or carrier administrative costs, incurred by Medicare, as determined on an accrual basis, for covered services furnished to Medicare beneficiaries nationwide during the most recent period for which CMS has complete data.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 417—HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS","Subpart P—Medicare Payment: Risk Basis"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"68212a56bb68c33176054c44d284db405df7ebf7e5645e09125ba2d4c4868ffd","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-417.580","next":"us/42-cfr-417.584"},"notice":"GroundRules: Original legal text. Not legal advice."}