Annual Adjustments. The HSCRC shall apply the following adjustments to the Approved Regulated Revenue to arrive at the Approved Regulated Revenue for the subsequent year: 1. Adjustment for the annual update factor approved by the Commission; 2. Adjustment for any performance-based purchasing rewards, penalties, or scaling then applicable to the TPR hospitals1 3. Adjustment for population and demographic changes, the scope and data source(s) defined in Appendix B of this agreement. 4. Reversal of any previous retroactive adjustments, including those carried forward from the TPR agreement in effect for SFY 2013; 5. Differential readjustment due to changes in mix of payers or changes in approved differential amounts and bad debt; 6. Any required adjustment as specified in subparagraph B above between the Hospital's Approved Regulated Revenue and the Actual Revenue. 7. Compliance and Related Adjustments will be applied as a one time adjustment for overages or underages relative to the Hospital’s Approved Regulated Revenue, as described in B above. 1 This currently includes the Commission’s Quality-Based Reimbursement and Maryland Hospital Acquired Conditions. 8. Any savings adjustments.2
Appears in 10 contracts
Samples: Successor Agreement, Successor Agreement, Successor Agreement
