Beneficiary Alignment Data Sample Clauses

Beneficiary Alignment Data. This data will include, for the relevant Performance Year: (i) A Beneficiary alignment report, shared monthly, that includes a list of REACH Beneficiaries and Beneficiaries who have been removed from alignment to the ACO, including Originally Aligned Beneficiaries, as well as the following information for each such Beneficiary: the Alignment Year the Beneficiary became an Alignment-Eligible Beneficiary (as such terms are defined in Appendix A of the Agreement); the effective date of the Beneficiary’s alignment to the ACO; the effective date of the Beneficiary’s removal from alignment to the ACO and the reason for such removal (if applicable); the demographic characteristics specified in the Reporting and Data Sharing Overview; if the ACO is a High Needs Population ACO, which of the High Needs eligibility criteria the Beneficiary has met; whether the Beneficiary has Medicare Part D prescription coverage; and the REACH Beneficiary’s data sharing preferences made pursuant to Section 6.04 and Section 6.05.B, including whether the REACH Beneficiary is administratively opted out of all claims data-sharing pursuant to Section 6.04.E. (ii) A provider alignment report, shared annually if the ACO elects Prospective Alignment or quarterly if the ACO elects Prospective Plus Alignment, that connects each REACH Beneficiary to the Participant Provider(s) that contributed to that Beneficiary’s alignment to the ACO through either Claims-Based Alignment or Voluntary Alignment. (iii) A SVA response file, shared quarterly, that includes the results of a REACH Beneficiary’s selection of a Participant Provider as his or her main source of care via SVA, if applicable.
Sample 1Sample 2Sample 3See All (8)

Related to Beneficiary Alignment Data

  • Beneficiary Designation The Participant may, from time to time, name any beneficiary or beneficiaries (who may be named contingently or successively) to whom any benefit under this Agreement is to be paid in case of his or her death before he or she receives any or all of such benefit. Each such designation shall revoke all prior designations by the Participant, shall be in a form prescribed by the Company, and will be effective only when filed by the Participant in writing with the Director of Human Resources of the Company during the Participant’s lifetime. In the absence of any such designation, benefits remaining unpaid at the Participant’s death shall be paid to the Participant’s estate.

  • Beneficiary The Participant may file with the Committee a written designation of a beneficiary on such form as may be prescribed by the Committee and may, from time to time, amend or revoke such designation.