Historical Program Adjustments Sample Clauses

Historical Program Adjustments. The base experience data represents a historical time period from which projections were developed. Certain program changes have occurred during and subsequent to the base data time period. The program adjustments were estimated and applied to the portion of the base experience data prior to the program change effective date. For example, a program change implemented on January 1, 2006 will only be reflected in the second half of SFY 2006. As such, an adjustment was applied to all of SFY 2005 and half of SFY 2006 to include the program change in all periods of the base experience data. ODJFS has provided a listing of all program changes impacting the base experience data. Section IV, Table 5 summarizes the historical program changes that were reflected in the development of the CY 2008 capitation rates.
Sample 1Sample 2
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Historical Program Adjustments. The base FFS data summaries represent a historical time period from which projections were developed. Certain program changes have occurred during and subsequent to the base data time period. The program adjustments were estimated and applied to the portion of the base experience data prior to the program Milliman makes no representations or warranties regarding the contents of this letter to third parties . Likewise, third parties are instructed that they are to place no reliance upon this letter prepared for ODJFS by Milliman that would result in the creation of any duty or liability under any theory of law by Milliman or its employees to third parties. Other parties receiving this letter must rely upon their own experts in drawing conclusions about the information presented. change effective date. For example, a program change implemented on January 1, 2006 will only be reflected in the second half of SFY 2006. As such, an adjustment was applied to all of SFY 2005 and half of SFY 2006 to include the program change in all periods of the base experience data. ODJFS has provided a listing of all program changes impacting the base experience data. Table 5 summarizes the historical program changes that were reflected in the development of the CY 2008 capitation rates. Inpatient Market Basket Increase 1/1/2005 Inpatient Hospital All Rate Groups (incl. Delivery) Dental Fee Schedule Reduction 1/1/2006 Dental All Rate Groups (incl. Delivery) Inpatient Recalibration and Outlier Policy 1/1/2006 Inpatient All Rate Groups (incl. Delivery) Pharmacy Co-pay ($2 Per Brand Prescription) 1/1/2006 Pharmacy HF M-19 to 44 HF F-19 to 44 HF M/F-45 to 64 Dental Co-pay ($3 Per Date of Service) 1/1/2006 Dental HF M-19 to 44 HF F-19 to 44 HF M/F-45 to 64 HST F-19 to 64 Vision Exam Co-Pay ($2 Per Exam) 1/1/2006 Vision / Optometric HF M-19 to 44 HF F-19 to 44 HF M/F-45 to 64 HST F-19 to 64 Vision Hardware Co-Pay ($1 Per Item) 1/1/2006 Vision / Optometric HF M-19 to 44 HF F-19 to 44 HF M/F-45 to 64 HST F-19 to 64 ER Co-Pay ($3 Per Non-Emergency Visit) 1/1/2006 Emergency Room HF M-19 to 44 HF F-19 to 44 HF M/F-45 to 64 HST F-19 to 64 Dental Benefit Reduction 1/1/2006 Dental HF M-19 to 44 HF F-19 to 44 HF M/F-45 to 64 HST F-19 to 64 Milliman makes no representations or warranties regarding the contents of this letter to third parties . Likewise, third parties are instructed that they are to place no reliance upon this letter prepared for ODJFS by Milliman that would result in the creat...
Sample 1
Historical Program Adjustments. The base experience data represents a historical time period from which projections were developed. Certain program changes have occurred during and subsequent to the base data time period. The program adjustments were estimated and applied to the portion of the base experience data prior to the program change effective date. For example, a program change implemented on January 1, 2006 will only be reflected in the CY 2006 experience. As such, an adjustment was applied to CY 2005 to include the program change in all periods of the base experience data. ODJFS has provided a listing of all program changes impacting the base experience data. Section IV, Table 5 summarizes the historical program changes that were reflected in the development of the CY 2008 capitation rates. Milliman makes no representations or warranties regarding the contents of this letter to third parties. Likewise, third parties are instructed that they are to place no reliance upon this letter prepared for ODJFS by Milliman that would result in the creation of any duty or liability under any theory of law by Milliman or its employees to third parties. Other parties receiving this letter must rely upon their own experts in drawing conclusions about the information presented.
Sample 1
Historical Program Adjustments. The base experience data represents a historical time period from which projections were developed. Certain program changes have occurred during and subsequent to the base data time period. The program adjustments were estimated and applied to the portion of the base experience data prior to the program change effective date. For example, a program change implemented on January 1, 2006 will only be reflected in the second half of SFY 2006. As such, an adjustment was applied to all of SFY 2005 and half of SFY 2006 to include the program change in all periods of the base experience data. Milliman makes no representations or warranties regarding the contents of this letter to third parties. Likewise, third parties are instructed that they are to place no reliance upon this letter prepared for ODJFS by Milliman that would result in the creation of any duty or liability under any theory of law by Milliman or its employees to third parties. Other parties receiving this letter must rely upon their own experts in drawing conclusions about the information presented. ODJFS has provided a listing of all program changes impacting the base experience data. Table 4 summarizes the historical program changes that were reflected in the development of the CY 2008 capitation rates. Inpatient Market Basket Increase 1/1/2005 Inpatient Hospital Dental Fee Schedule Reduction 1/1/2006 Dental Inpatient Recalibration and Outlier Policy 1/1/2006 Inpatient Pharmacy Co-pay ($2 Per Brand Prescription) 1/1/2006 Pharmacy Dental Co-pay ($3 Per Date of Service) 1/1/2006 Dental Vision Exam Co-Pay ($2 Per Exam) 1/1/2006 Vision / Optometric Vision Hardware Co-Pay ($1 Per Item) 1/1/2006 Vision / Optometric ER Co-Pay ($3 Per Non-Emergency Visit) 1/1/2006 Emergency Room Dental Benefit Reduction 1/1/2006 Dental
Sample 1
Historical Program Adjustments. The base experience data represents a historical time period from which projections were developed. Certain program changes have occurred during and subsequent to the base data time period. The program adjustments were estimated and applied to the portion of the base experience data prior to the program change effective date. For example, a program change implemented on January 1, 2006 will only be reflected in the CY 2006 experience. As such, an adjustment was applied to CY 2005 to include the program change m all periods of the base experience data. ODJFS has provided a listing of all program changes impacting the base experience data. Section IV, Table 5 summarizes the historical program changes that were reflected in the development of the CY 2008 capitation rates. The cost reports submitted by the health plans contained information related to third-party liability and fraud-abuse recoveries. Milliman calculated the average recoveries and applied the reduction to the base cost report data.
Sample 1
Historical Program Adjustments. The base experience data represents a historical time period from which projections were developed. Certain program changes have occurred during and subsequent to the base data time period. The program adjustments were estimated and applied to the portion of the base experience data prior to the program change effective date. For example, a program change implemented on January 1. 2006 will only be reflected in the second half of SFY 2006. As such, an adjustment was applied to all of SFY 2005 and half of SFY 2006 to include the program change in all periods of the base experience data. ODJFS has provided a listing of all program changes impacting the base experience data. Table 4 summarizes the historical program changes that were reflected in the development of the CY 2008 capitation rates. Inpatient Market Basket Increase 1/1/2005 Inpatient Hospital Dental Fee Schedule Reduction 1/1/2006 Dental Inpatient Recalibration and Outlier Policy 1/1/2006 Inpatient Pharmacy Co-pay ($2 Per Brand Prescription) 1/1/2006 Pharmacy Dental Co-pay ($3 Per Date of Service) 1/1/2006 Dental Vision Exam Co-Pay ($2 Per Exam) 1/1/2006 Vision / Optometric Vision Hardware Co-Pay ($ 1 Per Item) 1/1/2006 Vision / Optometric ER Co-Pay ($3 Per Non-Emergency Visit) 1/1/2006 Emergency Room Dental Benefit Reduction 1/1/2006 Dental
Sample 1

Related to Historical Program Adjustments

  • Cost Adjustments Both parties agree that contracted prices shall be fixed for the first 12 months of this Contract. Contractor must submit to District any proposed cost adjustments at least 60 days before the proposed effective date of such increases with a detailed explanation for each adjustment. District alone reserves the right to reject any changes to this Contract it deems unacceptable.

  • Fee Adjustments The fixed fees and other fees expressed as stated dollar amounts in this Schedule C and in this Agreement are subject to annual increases, commencing on the one-year anniversary date of the date of this Agreement, in an amount equal to the percentage increase in consumer prices for services as measured by the United States Consumer Price Index entitled “All Services Less Rent of Shelter,” or a similar index should such index no longer be published, since such one-year anniversary or since the date of the last fee increase, as applicable.

  • Adjustments to Capital Accounts At the end of each Fiscal Period, the Capital Accounts of the Partners shall be adjusted in the following manner: (a) Subject to the provisions of subsections (c) and (d) and (f) of this Section 9, Net Profit of the Partnership for the Fiscal Year shall be credited as follows: (i) Twenty percent (20%) of the Net Profit shall be reallocated to the General Partner for each Fiscal Year as a "Incentive Allocation". (ii) The remaining Net Profit shall be allocated to the Partners in proportion to their Capital Accounts. (b) Net Loss of the Partnership for the Fiscal Year shall be debited against the Capital Account of each Partner in proportion to and in accordance with the balance in the Capital Account of the Partner until the value of any Partners' Capital account becomes zero. Thereafter, any remaining Net Loss for the Fiscal Year shall be debited to Partners having positive balances in their Capital accounts in proportion to those balances, until the value of each Partner's Capital Account becomes zero. Thereafter, any remaining Net Loss for the Fiscal Year shall be debited to the General Partner in accordance with each General Partner's General Partner Percentage for the Fiscal Period. (c) In the event that the Capital Account of one or more General Partner has a negative balance, one hundred percent (100%) of the Net Profit of the Partnership for the Fiscal Period shall be credited to those General Partners whose Capital Accounts have negative balances in accordance with their respective General Partner Percentages until no General Partner shall have a negative Capital Account balance. (d) Anything in this Section 9 to the contrary notwithstanding, if any Net Losses are allocated to the account of any Limited Partner, each such Limited Partner shall be entitled to a "Recoupment Allocation" of subsequent Net Profits of the Partnership, in an amount in proportion to his Partnership Percentage, until such Net Loss shall have been eliminated. The amount of Net Profits allocated as a Recoupment Allocation shall not exceed, but shall reduce, the amount of Net Profits otherwise allocable to the General Partners as the Incentive Allocation pursuant to Section 9(a) (ii) hereof. If a Limited Partner who is entitled to a Recoupment Allocation shall withdraw any portion of his Capital Account, the amount of Recoupment Allocation to which he is entitled shall be reduced in proportion to the amount of capital withdrawn. (e) The amount of any withdrawal made by the Partner pursuant to Section 21 or Section 22 of this Agreement shall be debited against the Capital Account of that Partner. (f) Allocations of Net Profit or Net Loss for a Fiscal Period, if necessary, shall be made in accordance with each Partner's Partnership percentage, adjusted as provided in paragraph (a) of this Section 9 at the end of the Fiscal Year, provided that the "Incentive Allocation" may not exceed twenty percent (20%) of the Net Profit for the Fiscal Year.

  • True-Up Adjustments From time to time, until the Retirement of the Recovery Bonds, the Servicer shall identify the need for True-Up Adjustments and shall take all reasonable action to obtain and implement such True-Up Adjustments, all in accordance with the following:

  • Year-End Adjustment If necessary, on or before the last day of the first month of each fiscal year, an adjustment payment shall be made by the appropriate party in order that the amount of the investment advisory fees waived or reduced and other payments remitted by the Adviser to the Fund or Funds with respect to the previous fiscal year shall equal the Excess Amount.

  • Payment and Year-End Adjustment Amounts accrued pursuant to this Agreement shall be payable to the Adviser as of the last day of each month. If necessary, on or before the last day of the first month of each fiscal year, an adjustment payment shall be made by the appropriate party in order that the actual Fund Operating Expenses of a Fund for the prior fiscal year (including any reimbursement payments hereunder with respect to such fiscal year) do not exceed the Maximum Annual Operating Expense Limit.

  • Pricing Adjustments a. In the event an adjustment is made to the computation of the net asset value of Fund shares as reported to Insurance Company under paragraph 7, (1) the correction will be handled in a manner consistent with SEC guidelines and the Investment Company Act of 1940, as amended and (2) the Funds or Transfer Agent shall notify Insurance Company as soon as practicable after discovering the need for any such adjustment. Notification may be made in the following manner:

  • Royalty Adjustments The following adjustments shall be made, on a Licensed Product-by-Licensed Product and country-by-country basis, to the royalties payable pursuant to this Section 5.5:

  • Contract Term Adjustment “Contract Term Adjustment” means adjustment only as provided for in the three circumstances described in this Subsection. Under these circumstances, the contract term shall be adjusted in writing to include additional calendar days in one or more Normal Operating Seasons equal to the actual time lost, except as limited by paragraph (b) in this Subsection.

  • Wage Adjustments If the funding available to be used for wages provided by Government in any fiscal year increases, the Employer shall pass on such increases to employees consistent with the funding increase adjusted for any additional deficits that this contract incurs. This will be the case whether the funding increase is for the entire year or simply a portion of it, and wage increases shall be effective upon the effective date of the increased funding. Should there be no increase provided by Government, wages will be maintained at their present levels. Should there be a decrease in funding, then the Employer will maintain wages at present levels. The Employer will promptly provide the Union with any information it receives from the Government regarding funding available for wages, and the parties will meet as required to work towards cooperative resolution of any issues arising from this Government information.

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