Shared Risk Settlement
Provider Type
- Participating Physician Groups (PPG)
Shared-risk settlement (PDF) is calculated by using the shared-risk formula and is based on both paid and incurred claim costs during the year. A final settlement is made within 120 days after the end of a calendar year. Claims incurred in the calendar year, but not received within 90 days after the end of that year, are charged against the following year's shared-risk budget.