{"abstract":"In accordance with court rulings in cases that challenge the federal fiscal year (FY) 2004 outlier fixed-loss threshold rulemaking, this document provides further explanation of certain methodological choices made in the FY 2004 fixed-loss threshold determination.","action":"Clarification.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2016/01/22/2016-01309.html","cfr_references":[{"chapter":null,"citation_url":null,"part":412,"title":42}],"citation":"81 FR 3727","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"January 22, 2016.","disposition_notes":null,"docket_ids":["CMS-1659-N"],"dockets":[],"document_number":"2016-01309","effective_on":null,"end_page":3729,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2016/01/22/2016-01309.xml","html_url":"https://www.federalregister.gov/documents/2016/01/22/2016-01309/medicare-program-explanation-of-fy-2004-outlier-fixed-loss-threshold-as-required-by-court-rulings","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2016-01309?publication_date=2016-01-22","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2016-01-22/2016-01309/mods.xml","not_received_for_publication":null,"page_length":3,"page_views":{"count":620,"last_updated":"2026-04-04 18:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2016-01-22/pdf/2016-01309.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-01309.pdf?1453384032","publication_date":"2016-01-22","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2016/01/22/2016-01309.txt","regulation_id_number_info":{"0938-ZB26":null},"regulation_id_numbers":["0938-ZB26"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS_FRDOC_0001","supporting_documents_count":0,"docket_id":"CMS_FRDOC_0001","regulation_id_number":null,"title":"Recently Posted CMS Rules and Notices.","checked_regulationsdotgov_at":"2016-02-11T06:00:13Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":3727,"subtype":null,"title":"Medicare Program; Explanation of FY 2004 Outlier Fixed-Loss Threshold as Required by Court Rulings","toc_doc":"Explanation of FY 2004 Outlier Fixed-Loss Threshold as Required by Court Rulings","toc_subject":"Medicare Program:","topics":[],"type":"Rule","volume":81}