Appropriate Documentation. The Company will have received, in a form and substance reasonably satisfactory to Company, dated the Closing Date, all certificates and other documents, instruments and writings to evidence the fulfillment of the conditions set forth in this Article 6 as the Company may reasonably request.
Appropriate Documentation. The Parent will have received, in a form and substance reasonably satisfactory to Parent, dated the Closing Date, all certificates and other documents, instruments and writings to evidence the fulfillment of the conditions set forth in this Article 5 as Parent may reasonably request.
Appropriate Documentation. Buyer will have received, in a form and substance reasonably satisfactory to Buyer, dated the Closing Date, all certificates and other documents, instruments and writings to evidence the fulfillment of the conditions set forth in this Article 5 as Buyer may reasonably request, along with duly executed copies of the Transaction Documents by the Parties.
Appropriate Documentation i. Development of non-benefit costs
(a) Description of the data, assumptions, and methodologies
Appropriate Documentation i. Projected Benefit Costs This section provides the documentation of the methodology utilized to develop the benefit cost component of the capitation rates at the rate cell level.
Appropriate Documentation. Seller will have received, in a form and substance reasonably satisfactory to Seller, dated the Closing Date, all certificates and other documents, instruments and writings to evidence the fulfillment of the conditions set forth in this Article 6 as Seller may reasonably request, along with duly executed copies of the Transaction Documents by the Parties.
Appropriate Documentation i. Documentation of required elements This report contains appropriate documentation of key elements, including data used, assumptions made, and methods for analyzing data and developing assumptions and adjustments.
Appropriate Documentation i. Rate certification and supporting documentation for MLTSS
(a) Capitation rate structure
Appropriate Documentation i. Prospective Risk Adjustment
(a) Data and adjustments
(b) Risk adjustment model
Appropriate Documentation i. Prospective risk adjustment
(a) Data and adjustments
(b) Risk adjustment model
(c) Risk adjustment methodology
ii. Retrospective risk adjustment Following the completion of the rating period, we anticipate revising the initial CY 2020 risk adjusted rates to utilize relative risk scores derived from an updated concurrent risk adjustment analysis. This methodology is being implemented as a result of changes in the auto-assignment process utilized in the MMC program, which has the potential to produce discrepancies in the risk profile by MCP for members not scored under the initial risk adjustment methodology.
