Financial Incentive Plans. In the event Participant or a Practice Provider receives from ACO a “financial incentive” (as defined under applicable Law or Policies and Procedures) related to the performance of Participant’s or Practice Provider’s duties under this Agreement, Participant agrees that no payments shall be made directly or indirectly to Participant or any Practice Provider as an inducement to reduce or limit medically necessary services.
Financial Incentive Plans. If Provider and Practice Providers meet the requirements contained herein, Provider and/or Practice Providers may be entitled to a distributable amount of Shared Savings, if any after taking into account DCE expenses, as determined by DCE’s Governing Body in accordance with the DCE’s Bylaws. The distributable amount of Shared Savings, if any, will take into consideration a Provider and Practice Provider’s individual performance, efficiency, attributed membership, and such other criteria as the DCE may reasonably determine; provided, however, Provider and Practice Providers shall not be entitled to any portion of Shared Savings if
Financial Incentive Plans. If Practice or a Participating Physician receives from ACO a “financial incentive” (as defined under applicable law or Policies and Procedures) related to the performance of Practice’s, or any Participating Physician’s, duties under this Agreement, Practice agrees that no payments shall be made directly or indirectly to Practice or any Participating Physician as an inducement to reduce or limit medically necessary services. The ACO will adopt specific Policies and Procedures regarding the requirements Practice and Participating Physicians must meet to be eligible to receive financial incentives. The Practice understands that such financial incentives may include the opportunity to receive shared savings or other payments intended to encourage Practice and the Participating Physicians to adhere to the ACO’s quality assurance and improvement program, CMS reporting requirements, and evidence-based clinical guidelines.
Financial Incentive Plans. In the event Provider or Subcontractor receives from HPN or a Payer (or Provider in the case of a Subcontractor) a “financial incentive” (as defined under applicable law, or the Payer’s policies and procedures) related to the performance of Provider’s duties under this Agreement, Provider agrees and shall cause each Subcontractor to agree, that such financial incentive shall comply with HPN’s and the Payer’s policies and procedures, that no payments shall be made directly or indirectly to Provider or Subcontractor as an inducement to reduce or limit Medically Necessary services.
Financial Incentive Plans. In the event Provider or Subcontractor receives from SeleetCare (or Provider in the case of a Subcontractor) a “financial incentive” (as defined under applicable law, or SelectCare’s policies and procedures) related to the performance of Provider’s duties under this Agreement, Provider agrees and shall cause each Subcontractor to agree, that such financial incentive shall comply with SelectCare’s policies and procedures, that no payments shall be made directly or indirectly to Provider or Subcontractor as an inducement to reduce or limit Medically Necessary services.
Financial Incentive Plans. Texas HealthSpring and RPO, on behalf of itself and RPO Providers, agree that any financial incentive (as defined under the applicable HMO Laws) received from Texas HealthSpring, an Affiliate, or a Payor related to the performance of RPO's or RPO Provider's duties under this Agreement shall comply with the applicable HMO Laws and that no payments shall be made directly or indirectly to RPO or RPO Providers as an inducement to reduce or limit Medically Necessary services.
