E of the Contract. Exhibit 1.1: ACO TCOC Benchmarks (per member per month) Effective January 1, 2021 – December 31, 2021 RC I Adult Effective January 1, 2021 – December 31, 2021 REGION TCOC BENCHMARK Northern $472.01 Greater Boston $474.83 Southern $523.12 Central $452.00 Western $433.59 RC I Child Effective January 1, 2021 – December 31, 2021 REGION TCOC BENCHMARK Northern $206.64 Greater Boston $204.19 Southern $205.52 Central $194.65 Western $197.41 XX XX Adult Effective January 1, 2021 – December 31, 2021 REGION TCOC BENCHMARK Northern $1,738.30 Greater Boston $1,866.79 Southern $1,885.45 Central $1,690.87 Western $1,547.68 XX XX Child Effective January 1, 2021 – December 31, 2021 REGION TCOC BENCHMARK Northern $922.70 Greater Boston $943.37 Southern $903.64 Central $897.01 Western $661.42 RC IX Effective January 1, 2021 – December 31, 2021 REGION TCOC BENCHMARK Northern $615.19 Greater Boston $583.80 Southern $673.57 Central $599.18 Western $561.00 RC X Effective January 1, 2021 – December 31, 2021 REGION TCOC BENCHMARK Northern $1,722.52 Greater Boston $1,634.04 Southern $1,815.20 Central $1,763.25 Western $1,528.56 Exhibit 1.2: ACO Administrative Payments (per member per month) ACO Administrative Payments Effective January 1, 2021 – December 31, 2021 REGION RC I Adult RC I Child XX XX Adult XX XX Child RC IX RC X Northern $10.96 $10.71 $26.31 $24.68 $12.74 $23.34 Greater Boston $10.55 $10.42 $26.10 $27.59 $12.31 $22.48 Southern $11.48 $10.41 $25.73 $24.39 $13.11 $24.04 Central $10.77 $10.44 $24.96 $25.02 $13.00 $25.09 Western $10.28 $10.32 $21.99 $19.08 $12.18 $20.83 EXHIBIT 2 STOP-LOSS ATTACHMENT POINT Contract Year 4 The table below indicates the admission-level stop-loss attachment point as described in Section 4.5.E for the Contract Year. $150,000 Admission Level Stop-Loss Attachment Point MINIMUM SAVINGS AND LOSSES THRESHOLD SELECTION Contract Year 4 The table below indicates the Contractor’s selected minimum savings and losses threshold as described in
E of the Contract. The CP Quality Score shall be used in the determination of incentive payments made by the Contractor to each of its subcontracted CPs. This Section of the Appendix describes the individual measures, and general methodology EOHHS will use to calculate the Contractor’s scores (i.e., MCO Quality Score, MCO Health Equity Score, and CP Quality Score), as further specified by EOHHS.
E of the Contract. Section I.3.e (Ownership Rights of EOHHS) of the Contract is hereby deleted and replaced in its entirety with the following new Section I.3.e: “e O wnership Rights of EOHHS. EOHHS will retain all right, title and interest in and to all pre-existing property owned by, assigned to, or developed by it, including all copyright, patent, trade secret, trademark and other intellectual property rights, and EOHHS’s confidential information or data, including but not limited to personal information (the “Commonwealth Data”) or other information relating to its internal operations, any information or data uploaded, input or otherwise transmitted through the Platform by Authorized Users and reports resulting from the Authorized Services (collectively, including the Commonwealth Data, the “Commonwealth Property”). The Commonwealth retains all right, title and interest in and to all derivative works of Commonwealth Property. EOHHS hereby grants to Provider a non-exclusive, royalty- free, fully paid-up, non-sublicensable (except to Provider’s service providers and subcontractors performing services for Provider) revocable license to use, copy, modify, distribute, display, and prepare derivative works of Commonwealth Property only during the Term and only for the purpose of performing Authorized Services and its other obligations under this Contract or required by applicable law. During the Term and strictly for use in ad-hoc reporting requirements requested by EOHHS from time to time, as part of the Authorized Services herein; for Provider’s internal maintenance and improvement of the Platform and related technology and Provider’s other existing products and services; for developing new Provider products and services consistent with Provider’s mission; for marketing purposes (for example, indicating the number of users utilizing the Platform and statistical information regarding use of the Platform) as
