Prior to the Enactment of the Balanced Budget Act (BBA)

Prior to the enactment of the Balanced Budget Act (BBA) of 1997, payment for Medicare-covered primary and acute care services was based on the adjusted average per capita cost (AAPCC) . The AAPCC is defined as the

A) average cost of services delivered to all patients living in a specified geographic region
B) actuarial value of the deductible and coinsurance amounts for basic Medicare-covered benefits
C) fee-for-service amount that the Centers for Medicaid and Medicare Services (CMS) would pay for a Medicare beneficiary, adjusted for age, sex, and institutional status
D) average fixed monthly fee paid by all Medicare enrollees in a specified geographic region