COMPENSATION TO PARTICIPATING MEDICAL GROUP. 7.01 Exhibits D, G and G-1 (all incorporated by reference herein), set forth Capitation payments for new and renewing business. The applicable Capitation payment for each Member assigned to PARTICIPATING MEDICAL GROUP, shall be paid monthly, prorated in accordance with Member eligibility. Such Capitation payment shall be adjusted for Member age, sex and Benefit Agreement in accordance with age, sex and plan relativities that have been developed by BLUE CROSS based upon actuarial assumptions and BLUE CROSS’ utilization experience. BLUE CROSS reserves the right to adjust such relativity factors, upon contract renewal, based upon BLUE CROSS’ experience.
Appears in 4 contracts
Samples: Medical Services Agreement (Prospect Medical Holdings Inc), Medical Services Agreement (Prospect Medical Holdings Inc), Medical Services Agreement (Prospect Medical Holdings Inc)
COMPENSATION TO PARTICIPATING MEDICAL GROUP. 7.01 7 01 Exhibits D, G and G-1 (all incorporated by reference herein), set forth Capitation payments for new and renewing business. The applicable Capitation payment for each Member assigned to PARTICIPATING MEDICAL GROUP, shall be paid monthly, prorated in accordance with Member eligibility. Such Capitation payment shall be adjusted for Member age, sex and Benefit Agreement in accordance with age, sex and plan relativities that have been developed by BLUE CROSS based upon actuarial assumptions and BLUE CROSS’ utilization experience. BLUE CROSS reserves the right to adjust such relativity factors, upon contract renewal, based upon BLUE CROSS’ experience.
Appears in 2 contracts
Samples: Medical Services Agreement (Prospect Medical Holdings Inc), Medical Services Agreement (Prospect Medical Holdings Inc)
COMPENSATION TO PARTICIPATING MEDICAL GROUP. 7.01 Exhibits D, D. G and G-1 (all incorporated by reference herein), ) set forth Capitation payments for new and renewing business. The applicable Capitation payment for each Member assigned to PARTICIPATING MEDICAL GROUP, shall be paid monthly, prorated in accordance with Member eligibility. Such Capitation payment shall be adjusted for Member age, sex and Benefit Agreement in accordance with age, sex and plan relativities that have been developed by BLUE CROSS based upon actuarial assumptions and BLUE CROSS’ utilization experience. BLUE CROSS reserves the right to adjust such relativity factors, upon contract renewal, based upon BLUE CROSS’ experience.
Appears in 2 contracts
Samples: Medical Services Agreement (Prospect Medical Holdings Inc), Medical Services Agreement (Prospect Medical Holdings Inc)