(1) Under an alternative payment system, a healthcare payor, when determining a physician's patient care costs, may use factors that are not under the control of the physician;
(2) A physician may not receive an appropriate share of savings or reduction in recoupment under an alternative payment system if the physician's patients have a higher cost of care; and
(3) A physician should not be penalized for higher patient care costs if any of the costs are not under the control of the physician.
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