Capping Individual Costs Sample Clauses

The "Capping Individual Costs" clause sets a maximum limit on the amount of costs or liabilities that any single party or individual may be required to pay under an agreement. In practice, this means that if damages, expenses, or claims arise, no one party will be responsible for paying more than the specified cap, regardless of the total amount of losses incurred. This clause is commonly used in contracts to provide financial certainty and to protect parties from potentially unlimited or disproportionate liability, thereby ensuring that risk exposure remains manageable and predictable.
Capping Individual Costs. The annual costs of individuals included in the savings calculation will be capped at the 99th percentile of annual expenditures. Medicare and Medicaid expenditures will be capped separately.
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Capping Individual Costs. The annual costs of individuals included in the savings calculation will be capped at the 99th percentile of annual expenditures. Medicare and Medicaid expenditures will be capped separately. Savings Calculation: Savings will be calculated one cell at a time, one year at a time, and one cohort at a time, as follows: S$X,P = MX,D * (TPBPMX,P – PBPMX,D,P), where: S$X,P = savings in dollars for a particular cell (X) for a particular cohort in a particular Demonstration Year for a particular program (Medicare or Medicaid) MX,D = months of eligibility for the beneficiaries in cell (X) in the demonstration group. Each cell in the comparison group will have the same weight as the corresponding cell in the demonstration group. TPBPMX,P = target per beneficiary per month cost in cell (X) for a particular program. PBPMX,D,P = actual per beneficiary per month cost of the beneficiaries in cell (X) in the demonstration group for a particular program. The PBPMX,D,P is equal to the Medicare A/B costs or the Medicaid costs (excluding the costs above the cap) incurred during the period of eligibility for all beneficiaries in cell (X) in the demonstration group, divided by the months of eligibility for all beneficiaries in cell (X) in the demonstration group. Whenever a beneficiary is eligible for part of a month (e.g., for a death that occurs in the middle of a month), then a fraction of the month will be used in determining the total number of months of eligibility. Aggregate savings across all cells will be the sum of the savings for all cells and for both programs: S$A = ∑∑ S$X. The target PBPM (TPBPMX,P) is a projection of the baseline PBPM of a cell (X) and the program (P) of the demonstration group based on the rate of increase of the corresponding cell of the comparison group: TPBPMX,P = PBPMX,D,P(BY) * (PBPMXC,P(DY) / PBPMXC,P(BY)), where: PBPMX,D,P(BY) = the demonstration group PBPM in the base years in cell (X) and program (P) PBPMX,C,P(BY) = the comparison group PBPM in the base years in cell (X) and program (P) PBPMX,C,P(DY) = the comparison group PBPM in the Demonstration Year in cell (X) and program (P) Percentage savings in aggregate across all cells and both Medicare and Medicaid is calculated as follows: S%Cohort = S$Cohort / (MCohort * TPBPMCohort) Total dollar savings will be the dollar savings from those beneficiaries in the calculation of the percentage savings plus the attributed savings to the cohort of beneficiaries who become eligible for this Demo...
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Related to Capping Individual Costs

  • Excess Costs Subject to the provisions of Section 4.1.3 below, if (a) the actual cost of any line item of the Work set forth in the Budget (including all fees and soft costs) exceeds the portion of the Contract Sum allocated for that line item in the Budget, or (b) additional unanticipated costs are identified after the date of this Agreement for which amounts were not allocated or reallocated in the Budget (collectively, the “Excess Costs”), Contractor shall be solely responsible at its sole cost and expense for, and shall pay, the amount of all such Excess Costs required to complete the Work (or the component thereof) and otherwise to fulfill all of its obligations under this Agreement without reimbursement for the Excess Costs by Owner. In addition, if Owner reasonably and in good faith anticipates that an Excess Cost will be incurred to achieve Completion of the Work, Owner may provide written notice thereof to Contractor (“Cost Overrun Notice”). Within twenty (20) business days after receipt of such Cost Overrun Notice, Contractor may dispute the contents of such Cost Overrun Notice by delivering written notice thereof to Owner (the “Cost Overrun Dispute Notice”) explaining in reasonable detail that Owner’s estimation of Excess Costs is incorrect. If Contractor fails to deliver a Cost Overrun Dispute Notice, Contractor shall be deemed to have waived its right to dispute the Excess Costs identified in such Cost Overrun Notice. If Contractor delivers a Cost Overrun Dispute Notice, Owner may (A) withdraw such Cost Overrun Notice, (B) modify such Cost Overrun Notice to conform to all or any corrections offered by Contractor, or (C) if Owner disagrees with the contents of the Cost Overrun Dispute Notice, engage the Civil Engineer to determine whether (and to what extent) any Excess Costs will be incurred. If the Civil Engineer concludes that an Excess Cost will be incurred and the amount of such Excess Cost exceeds the amount, if any, of the Excess Costs identified in the Cost Overrun Dispute Notice, Contractor shall be solely responsible for the fees payable to such Civil Engineer. If the Civil Engineer concludes that the amount of Excess Costs to be incurred is equal to or less than the Excess Costs identified in the Cost Overrun Dispute Notice, Owner shall be solely responsible for the fees payable to such Civil Engineer. Any funds deposited with Owner shall be disbursed by Owner to Contractor upon completion of the applicable component of the Work and the payment of such Excess Costs, if any.

  • Actual Costs The Consultant can invoice the City for no more than the actual cost of each subconsultant plus a specified markup not to exceed 5 percent.

  • Start-Up Costs The Government of Ontario will provide:

  • Direct Costs The Contractor shall separately identify each item of deleted and added work associated with the change or other condition giving rise to entitlement to an equitable adjustment, including increases or decreases to unchanged work impacted by the change. For each item of work so identified, the Contractor shall propose for itself and, if applicable, its first two tiers of subcontractors, the following direct costs: (1) Material cost broken down by trade, supplier, material description, quantity of material units, and unit cost (including all manufacturing burden associated with material fabrication and cost of delivery to site, unless separately itemized); (2) Labor cost broken down by trade, employer, occupation, quantity of labor hours, and burdened hourly labor rate, together with itemization of applied labor burdens (exclusive of employer’s overhead, profit, and any labor cost burdens carried in employer’s overhead rate); (3) Cost of equipment required to perform the work, identified with material to be placed or operation to be performed; (4) Cost of preparation and/or revision to shop drawings and other submittals with detail set forth in paragraphs (e)(1) and (e)(2) of this clause; (5) Delivery costs, if not included in material unit costs; (6) Time-related costs not separately identified as direct costs, and not included in the Contractor’s or subcontractors’ overhead rates, as specified in paragraph

  • Complete Work without Extra Cost Except to the extent otherwise specifically stated in this contract, the Contractor shall obtain and provide, without additional cost to the City, all labor, materials, equipment, transportation, facilities, services, permits, and licenses necessary to perform the Work.