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. 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
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. STATE OF NEW JERSEY SFY 2007 MANAGED CARE CAPITATION RATES AND MANAGED CARE SERVICES ADMINISTRATOR FEES ******REDACTED*****.
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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.
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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 first day of the month after such person is discharged from the hospital and DMAHS shall be liable for payment for the hospitalization and for medical services received after the hospital discharge until the first day of the the next month thereafter, 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.
Sample 1
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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). Table 3. Counts of Asthma Hospitalizations by Age Group, Ages 0‐17, AHCA 2009 Age Group Count Percent 0 – 4 4,046 53% 5‐10 2,520 33% 11‐17 1,080 14% Total 7,646 100% 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). Figure 10. Asthma Hospitalization Crude Rates, Ages 0-17, by Gender and Race, AHCA 2009 432.4 230.4 136.1 102.1 500 Rate per 100,000 400 300 200 100 0 Male Female White Black 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. Figure 11. Asthma Hospitalization Crude Rates, Ages 0‐17, by County, AHCA 2009 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...
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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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Related to Hospitalizations

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

  • Plans 3. The term "

  • Health Care Benefits (a) Each regular full-time employee may elect coverage for himself and his eligible dependents* under one of the following health insurance plans:

  • Programs An expression of a combination of instructions that causes a computer to function so that it is capable of obtaining a certain result.

  • Health Care Coverage The Company shall continue to provide Executive with medical, dental, vision and mental health care coverage at or equivalent to the level of coverage that the Executive had at the time of the termination of employment (including coverage for the Executive’s dependents to the extent such dependents were covered immediately prior to such termination of employment) for the remainder of the Term of Employment, provided, however that in the event such coverage may no longer be extended to Executive following termination of Executive’s employment either by the terms of the Company’s health care plans or under then applicable law, the Company shall instead reimburse Executive for the amount equivalent to the Company’s cost of substantially equivalent health care coverage to Executive under ERISA Section 601 and thereafter and Section 4980B of the Internal Revenue Code (i.e., COBRA coverage) for a period not to exceed the lesser of (A) 18 months after the termination of Executive’s employment or (B) the remainder of the Term of Employment, and provided further that (1) any such health care coverage or reimbursement for health care coverage shall cease at such time that Executive becomes eligible for health care coverage through another employer and (2) any such reimbursement shall be made no later than the last day of the calendar year following the end of the calendar year with respect to which such coverage or reimbursement is provided. The Company shall have no further obligations to the Executive as a result of termination of employment described in this Section 8(a) except as set forth in Section 12.

  • Health and Welfare Benefits (Article 17 applies to full-time nurses only)

  • Prescription Claims against the Issuer or any Guarantor for the payment of principal or Additional Amounts, if any, on the Notes will be prescribed ten years after the applicable due date for payment thereof. Claims against the Issuer or any Guarantor for the payment of interest on the Notes will be prescribed five years after the applicable due date for payment of interest.

  • 401(k) Plans (a) From the Distribution Time and continuing until the 401(k) Plan Transition Date, SpinCo shall become an “adopting employer” (as defined in the Company 401(k) Plan) and the Company 401(k) Plan shall provide for the SpinCo Group to participate in the Company 401(k) Plan for the benefit of SpinCo Employees and Former SpinCo Service Providers, and the Company consents to such adoption and maintenance, in accordance with the terms of the Company 401(k) Plan.

  • Flexible Spending Accounts Employees in the unit shall have access to the County’s flexible spending account program, which provides employees with the options of dependent care assistance benefits with a calendar year maximum of $5,000, and medical expense reimbursement benefits with a calendar year maximum of $2,400. The County shall maintain this plan in compliance with IRC §125. Employee premiums for flexible spending account benefits shall be deducted on a pre-tax basis from employee pay.

  • Health and Welfare Benefit Plans During the Employment Period, Executive and Executive’s immediate family shall be entitled to participate in such health and welfare benefit plans as the Employer shall maintain from time to time for the benefit of senior executive officers of the Employer and their families, on the terms and subject to the conditions set forth in such plan. Nothing in this Section shall limit the Employer’s right to change or modify or terminate any benefit plan or program as it sees fit from time to time in the normal course of business so long as it does so for all senior executives of the Employer.

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