1. Provider’s agreement with a managed care plan to deliver medical services to members for a determined, fixed payment without knowing the cost of the services. The provider is responsible for managing the medical care and risks losing money if total expenses are more than the predetermined amount of funds. 2. In a Medicare risk contract, the federal government sends monthly fixed payments to the managed care plan for services given to Medicare beneficiaries who join the plan and agree to receive all medical care through the plan. The plan is at risk for services regardless of the extent, expense, or intensity of services rendered. Sometimes an additional fee may be paid by each enrollee. Medicaid beneficiaries enrolled in risk contracts are not required to pay monthly premiums.