Common use of Incentive Payment Pool and PAU Savings Clause in Contracts

Incentive Payment Pool and PAU Savings. (a) The Hospital may make Incentive Payments for each Performance Period to one or more Care Partners for a CRP Track only if – (i) The HSCRC has determined an Incentive Payment Pool for the CRP Track; and (ii) The Incentive Payment is made pursuant to a Care Partner Arrangement that complies with section 6.3 of this Agreement. (b) The HSCRC shall calculate PAU Savings using a methodology that has been approved by CMS in accordance with section 9.d of the State Agreement, which is set forth in the CRP Hospital’s Approved Track Implementation Protocol. In a form and manner determined by the HSCRC and by the deadline specified in the CRP Calendar, the HSCRC shall notify the Hospital of its PAU Savings and Incentive Payment Pool for the relevant CRP Track and Performance Period. (c) The Hospital shall not distribute an Incentive Payment to a Care Partner participating in a CRP Track until the HSCRC has notified the Hospital of the relevant Incentive Payment Pool. If the Hospital contests the Incentive Payment Pool in accordance with paragraph (f) of this section 3.8, below, the Hospital shall not distribute any Incentive Payments to any Care Partner participating in the relevant CRP Track until the Incentive Payment Pool is deemed final in accordance with paragraph (f)(iii) of this section 3.8. (d) The Hospital shall not distribute an Incentive Payment to a Care Partner until the Care Partner has reported the number of Allowable CRP Interventions it performed during the Performance Period, or portion thereof, for which the Incentive Payment is calculated. (e) For any CRP Track, the aggregate amount of Incentive Payments distributed by the Hospital in the Performance Period must not exceed the Incentive Payment Pool for that CRP Track.

Incentive Payment Pool and PAU Savings. (a) The Hospital may make Incentive Payments for each Performance Period to one or more Care Partners for a CRP Track only if – (i) – The HSCRC has determined an Incentive Payment Pool for the CRP Track; and (ii) and The Incentive Payment is made pursuant to a Care Partner Arrangement that complies with section 6.3 of this Agreement. (b) . The HSCRC shall calculate PAU Savings using a methodology that has been approved by CMS in accordance with section 9.d of the State Agreement, which is set forth in the CRP Hospital’s Approved Track Implementation Protocol. In a form and manner determined by the HSCRC and by the deadline specified in the CRP Calendar, the HSCRC shall notify the Hospital of its PAU Savings and Incentive Payment Pool for the relevant CRP Track and Performance Period. (c) . The Hospital shall not distribute an Incentive Payment to a Care Partner participating in a CRP Track until the HSCRC has notified the Hospital of the relevant Incentive Payment Pool. If the Hospital contests the Incentive Payment Pool in accordance with paragraph (f) of this section 3.8, below, the Hospital shall not distribute any Incentive Payments to any Care Partner participating in the relevant CRP Track until the Incentive Payment Pool is deemed final in accordance with paragraph (f)(iii) of this section 3.8. (d) . The Hospital shall not distribute an Incentive Payment to a Care Partner until the Care Partner has reported the number of Allowable CRP Interventions it performed during the Performance Period, or portion thereof, for which the Incentive Payment is calculated. (e) . For any CRP Track, the aggregate amount of Incentive Payments distributed by the Hospital in the Performance Period must not exceed the Incentive Payment Pool for that CRP Track.

Incentive Payment Pool and PAU Savings. (a) The Hospital may make Incentive Payments for each Performance Period to one or more Care Partners for a CRP Track only if –± (i) The HSCRC has determined an Incentive Payment Pool for the CRP Track; and (ii) The Incentive Payment is made pursuant to a Care Partner Arrangement that complies with section 6.3 of this Agreement. (b) The HSCRC shall calculate PAU Savings using a methodology that has been approved by CMS in accordance with section 9.d of the State Agreement, which is set forth in the CRP Hospital’s Approved Track ZKLFK LV VHW IRUWK LQ WKH &53 Implementation Protocol. In a form and manner determined by the HSCRC and by the deadline specified in the CRP Calendar, the HSCRC shall notify the Hospital of its PAU Savings and Incentive Payment Pool for the relevant CRP Track and Performance Period. (c) The Hospital shall not distribute an Incentive Payment to a Care Partner participating in a CRP Track until the HSCRC has notified the Hospital of the relevant Incentive Payment Pool. If the Hospital contests the Incentive Payment Pool in accordance with paragraph (f) of this section 3.8, below, the Hospital shall not distribute any Incentive Payments to any Care Partner participating in the relevant CRP Track until the Incentive Payment Pool is deemed final in accordance with paragraph (f)(iii) of this section 3.8. (d) The Hospital shall not distribute an Incentive Payment to a Care Partner until the Care Partner has reported the number of Allowable CRP Interventions it performed during the Performance Period, or portion thereof, for which the Incentive Payment is calculated. (e) For any CRP Track, the aggregate amount of Incentive Payments distributed by the Hospital in the Performance Period must not exceed the Incentive Payment Pool for that CRP Track. (f) Contestation of Errors. 7KH +RVSLWDO PD\ FRQWHVW WK of PAU Savings and the Incentive Payment Pool in accordance with the following: (i) The Hospital may contest mathematical errors in the calculation of XXX Xxxxxxx and the Incentive Payment Pool, but the methodology used to determine PAU Savings and the Incentive Payment Pool is not subject to review. (ii) If the Hospital wishes to contest errors in the calculation of PAU Savings or the Incentive Payment Pool, it must provide a written notice of error and supporting documentation to the HSCRC no later than 30 days after the date on which the HSCRC notified the Hospital of the amount of its PAU Savings and Incentive Payment Pool. (iii) If the HSCRC receives a timely notice of error for either or both calculations, the HSCRC shall respond in writing within 30 days to either confirm or reject the notice of error. (A) If the HSCRC confirms the error, the HSCRC shall revise the relevant calculation(s) and notify the Hospital in writing of the revised PAU Savings and/or Incentive Payment Pool. The revised amount(s) are deemed final on the date of the +6&5&¶V ZULWWHQ UHVSRQVH (B) If the HSCRC rejects the notice of error, the HSCRC shall notify the Hospital in writing that the relevant calculation(s) DUH FRUUHFW DQG DUH GHHPHG ILQ written response.

Incentive Payment Pool and PAU Savings. (a) The Hospital may make an Incentive Payments for each Payment during a Performance Period to one or more Care Partners for a CRP Track only if – (i) The HSCRC has determined an Incentive Payment Pool for the CRP Track; and (ii) The Incentive Payment is made pursuant to a Care Partner Arrangement that complies with section 6.3 6.6 of this Agreement. (b) The HSCRC shall determine the Hospital’s Incentive Payment Pool for a Performance Period by calculating the amount by which XXX Xxxxxxx achieved by the Hospital for the relevant CRP Track in the immediately preceding Performance Period exceeds the Intervention Resource Allocation (if any) for the relevant CRP Track. (i) The HSCRC shall calculate PAU Savings using a methodology that has been approved by CMS in accordance with section 9.d of the State Agreement, Model Agreement and which is set forth in the CRP Hospital’s Approved Track Implementation Protocol. . (ii) In a form and manner determined by the HSCRC and by the deadline deadlines specified in the CRP Calendar, the HSCRC shall notify the Hospital of its PAU Savings and Incentive Payment Pool for the relevant CRP Track and Performance Period. (c) The Hospital shall not distribute an Incentive Payment to a Care Partner participating in a CRP Track until the HSCRC has notified the Hospital of the relevant Incentive Payment Pool. If the Hospital contests the Incentive Payment Pool in accordance with paragraph (f) of this section 3.8, below, the Hospital shall not distribute any Incentive Payments to any Care Partner participating in the relevant CRP Track until the Incentive Payment Pool is deemed final in accordance with paragraph (f)(iii) of this section 3.8. (d) The Hospital shall not distribute an Incentive Payment to a Care Partner until the Care Partner has reported the number of Allowable CRP Interventions it performed during the Performance Period, or portion thereof, for which the Incentive Payment is calculated. (e) For any CRP TrackTrack in a given Performance Period, the aggregate amount of Incentive Payments distributed by the Hospital in the Performance Period must not exceed the Incentive Payment Pool for that CRP Track.

Incentive Payment Pool and PAU Savings. (a) The Hospital may make an Incentive Payments Payment for each the Performance Period to one or more Care Partners for a CRP Track only if – (i) The HSCRC has determined an Incentive Payment Pool for the CRP Track; and (ii) The Incentive Payment is made pursuant to a Care Partner Arrangement that complies with section 6.3 6.6 of this Agreement. (b) The HSCRC shall calculate PAU Savings using a methodology that has been approved by CMS in accordance with section 9.d of the State Model Agreement, which is set forth in the CRP Hospital’s Approved Track Implementation Protocol. In a form and manner determined by the HSCRC and by the deadline deadlines specified in the CRP Calendar, the HSCRC shall notify the Hospital of its PAU Savings and Incentive Payment Pool for the relevant CRP Track and Performance Period. (c) The Hospital shall not distribute an Incentive Payment to a Care Partner participating in a CRP Track until the HSCRC has notified the Hospital of the relevant Incentive Payment Pool. If the Hospital contests the Incentive Payment Pool in accordance with paragraph (f) of this section 3.8, below, the Hospital shall not distribute any Incentive Payments to any Care Partner participating in the relevant CRP Track until the Incentive Payment Pool is deemed final in accordance with paragraph (f)(iii) of this section 3.8. (d) The Hospital shall not distribute an Incentive Payment to a Care Partner until the Care Partner has reported the number of Allowable CRP Interventions it performed during the Performance Period, or portion thereof, for which the Incentive Payment is calculated. (e) For any CRP TrackTrack in the Performance Period, the aggregate amount of Incentive Payments distributed by the Hospital in the Performance Period must not exceed the Incentive Payment Pool for that CRP Track.