1. Flat or standard rate charged to all enrollees of a managed care plan in a particular group regardless of whether they are enrolled for single or family coverage. 2. Phrase that describes the average unit cost per employee covered. 3. In the Medicare program, this system is one of two methods of payment for dialysis services rendered in the patient’s home. Payment does not include the physician’s professional services, separately billable laboratory services, and separately billable drugs.
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A special single rate based upon a measure of exposure which reasonably reflects the variations in the insurable hazards covered for a particular insured. Bases of exposure to which the composite rate is applied include but are not limited to pay roll, sales, receipts and contract cost.