risk

Risk is an opportunity of gain or loss primarily based on probability. In managed care, risk pertains to the parties whose financial gain or loss is in greatest jeopardy. Related terms include:

  • Full risk and At risk indicate that the party assumes a high proportion of the financial jeopardy.
  • Non-risk and Risk adverse indicate that the party does not share in the financial jeopardy.
  • Risk sharing is an arrangement where more than one party’s financial gain or loss is in jeopardy.

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