Exemption from ROC Scaling Sample Clauses

Exemption from ROC Scaling. 2 For SFY 2014 through 2016, the Hospital will be subject to the Readmission Policy Adjustment. Also, it is possible that HSCRC will develop other shared savings policies that may apply to TPR hospitals, and these policies will need to be incorporated into the annual update process. The implementation of these policies will be subject to negotiation between the Hospital and HSCRC in the context of the overall TPR Agreement. 3 Health Care Coverage Fund, MHIP, Deficit Assessment, HSCRC and MHCC user fees, NSP, and CRISP are examples of such assessments currently in place and are subject to change by the Commission.
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Exemption from ROC Scaling. If the Hospital operates successfully under this TPR constraint, the Hospital’s ROC position may be expected to erode as the Hospital reduces the number of unnecessary inpatient cases and, instead, cares for these patients on a more coordinated way through improved communication and more effective use of ambulatory services. Because this TPR Agreement substantially alters the measurements upon which hospitals are compared for relative efficiency within the State (the HSCRC’s ROC), the Hospital will be exempt from negative scaling on the ROC. The Hospital agrees that it will be subject to adjustments to its TPR Approved Regulated Revenue on a prospective basis for the relative efficiency of the Hospital, provided the HSCRC approves a replacement methodology to its current case-based system for evaluating the hospital’s efficiency and that this replacement is appropriate for application to TPR hospitals considering the population-based nature of the approach and considering the investments in interventions required by the Hospital.
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Related to Exemption from ROC Scaling

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