Hospitalizations Sample Clauses

Hospitalizations. For any eligible person who applies for participation in the contractor's plan, but who is hospitalized prior to the time coverage under the plan becomes effective, such coverage shall not commence until the date after such person is discharged from the hospital and DMAHS shall be liable for payment for the hospitalization, including any charges for readmission within forty-eight (48) hours of discharge for the same diagnosis. If an enrollee's disenrollment or termination becomes effective during a hospitalization, the contractor shall be liable for hospitalization until the date such person is discharged from the hospital, including any charges for readmission within forty-eight (48) hours of discharge for the same diagnosis. The contractor must notify DMAHS of these occurrences to facilitate payment to appropriate providers.
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Hospitalizations. If a MVT Employee is in a hospital or other inpatient setting on the Distribution Date, the costs associated with such inpatient treatment shall be allocated between the MI Health Plans and the MVT Health Plans on a pro rata basis so that the MI Health Plans bear the costs associated with such treatment for the number of days ending with the day prior to the Distribution Date and the MVT Health Plans bear the cost associated with such treatment for the number of days beginning with the Distribution Date. The MI Health Plans shall pay for such treatment and the MVT Group or the MVT Health Plans shall reimburse the MI Health Plans or the associated MI VEBAs for that portion of the treatment which is its liability under this paragraph (b).
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Hospitalizations. Goal: To increase or maintain the probability of clients remaining in the community and out of the hospital. Objective: No more than fifteen percent (15%) of the clients in each of the programs listed above in this Paragraph IV. C. shall be hospitalized Data to be collected by Contractor. Note: Contractor shall establish baseline data for the contract year in order to set realistic outcomes for subsequent contract years.
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Hospitalizations. The leading causes of injury hospitalizations in Kentucky in 2010 were unintentional falls (10,753), motor vehicle traffic crashes (2,385), and intentional self-harm by poisoning (2,056). Unintentional falls were the leading cause of injury hospitalizations for Kentucky residents age fourteen and younger and age 45 and older. Motor vehicle traffic accidents were the leading cause of injury hos- pitalization for Kentuckians ages 15 to 24, and unintentional poisonings were the top cause for those ages 25 to 44. The 24,914 hospitalizations for Kentucky residents in 2010 represents a very slight (-0.7%) de- crease compared to the 25,093 we reported in 2009. MTVC hospitalizations continued to decline strongly to 2,386 in 2010 compared to 3,021 in 2009 (21% decrease). Hospitalizations for all poi- sonings increased from 4,083 in 2009 to 4,333 in 2010 (6% increase). (Preliminary data suggest that both of these trends continued in 2011, and also that there was a slight uptick in the overall number of injury hospitalizations in 2011. However the 2011 numbers are provisional at this time and subject to change.)
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Hospitalizations. 4.1 of clients admitted to hospital or hospitalized (State hospital or any other hospital for psychiatric care) Calculate the number of clients served. Calculate the number of clients who were hospitalized (not including ER visits) for psychiatric care at any time during the period. Divide the number hospitalized by the number receiving Services.
Sample 1
Hospitalizations. In 2009, there were a total of 7,646 hospitalizations among children under the age of 18 in Florida with asthma listed as the primary diagnosis. This group accounts for about a quarter (24.9%) of all asthma‐related hospitalizations. Younger children had a larger number of hospitalizations than older children (Table 3). 0 – 4 4,046 53% 5‐10 2,520 33% 11‐17 1,080 14% The Healthy People 2020 objective for asthma hospitalizations reduces hospitalization rates to less than 18.1 per 10,000 (or 181 per 100,000) among children ages 0 to 4 and less than 8.6 per 10,000 (or 86 per 100,000) for children ages 5 to 17 nationwide. In 2009, the crude rate of asthma hospitalizations in Florida for children ages 0‐4 was 355.9 per 100,000 and the rate for children ages 5‐17 was 119.5 per 100,000. Males (230.4) had a higher rate of asthma hospitalizations than females (136.1). Black children had a higher rate of asthma hospitalizations (432.4) than white children (102.1), again a notable disparity (Figure 10). The rate of hospitalizations varied by geographical location, but not necessarily by rurality (Figure 11). For county‐specific asthma hospitalization rates, please view the fact sheet, Florida Asthma Hospitalization Rates, 2006‐2009, available at: xxxx://xxx.xxxxxxxxxxx.xxx/medicine/Asthma/FLAsthmaHospitalizationRates.pdf. R = Rural NR = Non‐Rural In 2009, the average charge of an asthma hospitalization for a child less than 18 was approximately $12,320 and the total charges for asthma hospitalizations for this age group were $157.6 million. Approximately 63% of the charges were covered by Medicaid, 28% were covered by private insurance, and 5% were paid out of pocket (including uninsured). Asthma hospitalizations, like asthma ED visits, can largely be prevented with proper asthma control and management. Reducing hospitalizations, particularly among populations with the greatest disparity‐ black non‐Hispanic children, should also be a priority. Efforts for in‐patient care should mirror those recommended for out‐patient care and ensure those admitted to the hospital receive self‐management education, have access to and know how to properly use prescriptions, and are connected to a primary care provider or specialist who can monitor the child’s asthma and provide the routine care needed to prevent emergencies. As more hospitals in Florida come into compliance with the National Heart, Lung, and Blood Institute’s EPR‐3 Guidelines for the Diagnosis and Treatment of Asthma, w...
Sample 1
Hospitalizations. If a Metavante Employee is in a hospital or other ---------------- inpatient setting on the Distribution Date, the costs associated with such inpatient treatment shall be allocated between the M&I Health Plans and the Metavante Health Plans on a pro rata basis so that the M&I Health Plans bear the costs associated with such treatment for the number of days ending with the day prior to the Distribution Date and the Metavante Health Plans bear the cost associated with such treatment for the number of days beginning with the Distribution Date. The M&I Health Plans shall pay for such treatment and Metavante or the Metavante Health Plans shall reimburse the M&I Health Plans or the associated M&I VEBAs for that portion of the treatment which is its liability under this paragraph (b).
Sample 1
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Related to Hospitalizations

  • Hospitalization In the event an employee is hospitalized overnight, the employee will have access to their EIB accrual at the first day of absence due to the hospitalization. Same day surgery, if requiring five (5) or more days of recovery, may also be paid from the employee’s EIB account.

  • Hospitalization Insurance A) Effective January 1, 2012, all eligible employees shall be enrolled into Blue Cross Blue Shield Community Blue 4 (CB4) medical plan with a closed formulary $5 generic/$40 preferred brand/$80 non-preferred brand prescription drug card. The CB4 medical plan shall include a $500 single/$1,000 couple/family first dollar deductible, after which coinsurance will be provided at 80% with an annual employee maximum co-insurance out of pocket at $1,500 single and $3,000 family. In accordance with Health Care Reform preventative care is covered 100%. Copays shall include $30 for office visits, $30 for urgent care, and $150 for emergency room visits. Effective July 1, 2019 the City will also provide Blue Cross Blue Shield Simply Blue PPO with a $5 generic/$40 preferred brand/$80 non-preferred prescription drug card as a voluntary option for employees. Effective January 1, 2012, the City shall establish a Cafeteria Plan Section 125 Flexible Spending Account (FSA) for qualified medical expenses compliant with all IRS regulations. Employees may elect to contribute into the FSA on a pre-tax basis up to a limit set by the employer in compliance with IRS regulations and Health Care Reform. Employees must establish their contributions each calendar year, and the amount may not be altered unless the employee experiences a qualifying event as defined by the IRS. The City shall not contribute into the employee’s FSA for calendar year 2011, 2012 or 2013. Effective with calendar year 2014 the City’s contribution into the FSA will be in accordance with Article IV Section 5. Qualified purchases during the calendar year using FSA funds must be submitted for reimbursement no later than the last day of February the following calendar year. Any money contributed into the FSA and not spent will be forfeited by the employee. Effective July 1, 2019 the FSA plan year shall be July through June to coincide with the medical plan year. Qualified purchases during the plan year using FSA funds must be submitted for reimbursement no later than the last day of September following the close of the plan year June 30th. Any money contributed into the FSA and not spent will be forfeited by the employee, except for the amount allowed by IRS regulations. The City reserves the right to self insure any and all medical insurance plans as described in this Collective Bargaining Agreement at the City’s sole discretion.

  • Health and Hospitalization Insurance Single Coverage: The School District shall contribute a sum not to exceed $284.00 per month toward the premium for individual coverage for each full-time employee employed by the School District who qualifies for and is enrolled in single coverage in the School District’s group health and hospitalization insurance plan. Any additional cost of the premium shall be borne by the employee and paid by payroll deduction.

  • Dental specific medications for dental purposes, including fluoride medications (except for children less than five years of age with a non-fluorinated water supply);

  • Health Examinations The Employer shall provide at no cost to the employee, such medical tests, health examinations and surveillance/monitoring as may be required as a condition of employment and/or as a result of regulated hazards encountered after employment.

  • Health Plans A. The health plans offered and benefits provided by those plans shall be those recommended by the JLMBC, approved by the City Council, and administered by the Personnel Department in accordance with LAAC Section 4.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Medical Examinations An employee may be required by the Employer, at the request of and at the expense of the Employer, to take a medical examination by a physician of the employee's choice. Employees may be required to take skin tests, x-ray examination, vaccination, inoculation and other immunization (with the exception of a rubella vaccination when the employee is of the opinion that a pregnancy is possible), unless the employee's physician has advised in writing that such a procedure may have an adverse affect on the employee's health.

  • Company Capitalization (a) The authorized capital stock of the Company consists of (i) 300,000,000 shares of Company Common Stock, and (ii) 20,000,000 shares of Company Preferred Stock. As of the close of business in New York City on August 13, 2010 (the “Capitalization Date”): (A) 62,828,936 shares of Company Common Stock were issued and outstanding, (B) no shares of Company Preferred Stock were issued and outstanding, and (C) no shares of Company Capital Stock were held by the Company as treasury shares. All outstanding shares of Company Common Stock are validly issued, fully paid and nonassessable and free of any preemptive rights. Except as set forth above, as of the date hereof, the Company has not issued any shares of Company Capital Stock other than pursuant to the exercise of Stock Options or vesting and settlement of Company RSUs. (b) As of the close of business on the Capitalization Date, there were 12,345,318 shares of Company Common Stock reserved for future issuance under the Company Stock Plans and 2,898,355 shares of Company Common Stock reserved for future issuance under the Company ESPP. As of the close of business on the Capitalization Date, there were outstanding Company Options to purchase 10,925,583 shares of Company Common Stock, 1,123,294 Company RSUs and 712 Company Restricted Stock Awards and, since such date, the Company has not granted, committed to grant or otherwise created or assumed any obligation with respect to any Company Options, Company RSUs or Company Restricted Stock Awards, other than as permitted by Section 6.1(b). (c) Except as set forth in Section 4.6(c) of the Company Disclosure Letter, as of the date hereof, none of the Company or any of its Subsidiaries has any indebtedness for borrowed money other than intercompany indebtedness owed to the Company or one of its Subsidiaries. (d) Except as set forth in this Section 4.6, there are (i) no outstanding shares of capital stock of, or other equity or voting interest in, the Company, (ii) no outstanding securities of the Company convertible into or exchangeable for shares of capital stock of, or other equity or voting interest in, the Company, (iii) no outstanding options, warrants, rights or other commitments or agreements to acquire from the Company, or that obligates the Company to issue, any capital stock of, or other equity or voting interest in, or any securities convertible into or exchangeable for shares of capital stock of, or other equity or voting interest in, the Company, (iv) no obligations of the Company to grant, extend or enter into any subscription, warrant, right, convertible or exchangeable security or other similar agreement or commitment relating to any capital stock of, or other equity or voting interest (including any voting debt) in, the Company (the items in clauses (i), (ii), (iii) and (iv), together with the Company Capital Stock, being referred to collectively as “Company Securities”) and (v) no other obligations by the Company or any of its Subsidiaries to make any payments based on the price or value of any Company Securities. Neither the Company nor any of its Subsidiaries is a party to any Contract which obligate the Company or any of its Subsidiaries to repurchase, redeem or otherwise acquire any Company Securities, except in connection with the repurchase or acquisition of Company Common Stock pursuant to the terms of Company Stock Plans. (e) Neither the Company nor any of its Subsidiaries is a party to any agreement relating to the voting of, requiring registration of, or granting any preemptive rights, anti-dilutive rights or rights of first refusal or other similar rights with respect to any securities of the Company.

  • Capitalization of the Company (a) Schedule 4.29 sets forth a true and complete list of all of the issued and outstanding Equity Interests of the Company. Such Equity Interests of the Company have been duly authorized, are validly issued and are fully paid and, except to the extent otherwise provided under the law of the Company’s jurisdiction of formation, non-assessable and were issued in conformity with the Organizational Documents of the Company and all applicable contracts or Laws and were not issued in violation of, and are not subject to, any purchase option, call option, right of first refusal, preemptive right, subscription right or any similar right under any provision of applicable Law, the Organizational Documents of the Company or any contract to which the Company is or was a party or by which it is or was otherwise bound. There are no certificates representing any of the Equity Interests of the Company. Seller has made available to Buyer true and complete copies of the Organizational Documents, minute books, membership interest certificate books, membership interest transfer books and equity ledgers of the Company to the extent the same are in existence. (b) There are no rights or Contracts (including options, warrants, calls and preemptive rights) obligating the Company (A) to issue, sell, pledge, dispose of or encumber any Equity Interest of the Company, (B) to redeem, purchase or acquire in any manner any Equity Interests of the Company or (C) to make any dividend or distribution of any kind with respect to the Equity Interests of the Company (or to allow any participation in the profits or appreciation in value of the Company). There are no outstanding or authorized membership interest appreciation, phantom unit, profit participation, or similar rights affecting the Equity Interests of the Company. There are no agreements, instruments, proxies, judgments or decrees, whether written or oral, express or implied, other than this Agreement, relating to the voting of, sale, assignment, conveyance, transfer, delivery, right of first refusal, option or limitation on transfer of any Equity Interests of the Company.

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