Categorical Cases Sample Clauses

Categorical Cases. University of Maryland Medical Center (UMMC) has agreed to establish a global budget for Categorical Cases as outlined in Appendix B of this agreement. The budget for categorical cases will capture inpatient cases that include transplants, highly specialized cancer care, research cases as well as outpatient bone marrow transplant cases. UMMC will provide a prospective global budget for Maryland residents for Categorical cases, which shall be incorporated into the global budget of UMMC after review by HSCRC staff for reasonableness. UMMC shall report its actual experience on a monthly basis, including the number of cases, the DRG, severity level, total charges, and the actual cost of organ acquisition and drugs. The annual budget will provide for a rebasing and trend for these services, taking into account the higher of a 50% variable cost factor or the statewide variable cost factor for volume changes, if changed from current policies, actual costs of drugs and organ acquisition, and a fixed budget for hospital overhead associated with supplies, drugs and organ acquisition. Changes in volumes of services above or below the level budgeted, as well as increases in organ acquisition and drug costs, will be considered when developing the budget of a succeeding year.
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Related to Categorical Cases

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