1. In managed care contracts, amount of money retained from capitated payments or discounted fees to facilities and providers and held as an incentive or bonus if they meet the criteria of reducing health care costs by managing utilization. Also known as withhold pool, bonus pool, risk pool, or at-risk contract. 2. To put together premium claims and expenses (risks) for groups into one risk pool to spread the risk. See also community rating.
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The basis of Insurance where by premium contributions are funded and used to pay losses.