INCENTIVES AND WITHHOLDS Sample Clauses

INCENTIVES AND WITHHOLDS. Quality Incentive withholds constitute 3% of the certified rates and are consistent with the Original certification. The certified rates illustrated in this certification represent the full Medicaid rates prior to the application of the withhold.
Sample 1Sample 2Sample 3See All (4)
AutoNDA by SimpleDocs
INCENTIVES AND WITHHOLDS. Effective April 1, 2018, ODM implemented a quality withhold arrangement for the MMC program. The withhold arrangement is measured on a calendar year basis and is consistent with description provided under the Original certification. ODM’s provider agreement indicates that ODM will perform medical loss ratio (MLR) calculations for the MMC program, which includes the ABD, CFC, AFK, and Extension populations. ODM is implementing a minimum MLR requirement of 86% for the MMC program. ODM will require remittance in the event a MCP reports a MLR below 86%. The MLR requirement will be implemented for the CY 2019 rating period of January 1, 2019, through December 31, 2019. This represents a change from information included in the Original certification, at which point there were no anticipated financial consequences associated with MLR requirements.
Sample 1
INCENTIVES AND WITHHOLDS. Effective April 1, 2018, ODM implemented a quality withhold arrangement for the MMC program. The withhold arrangement is measured on a calendar year basis. ODM is evaluating the withhold measures in the context of the COVID-19 pandemic and will apply adjustments as appropriate. Based on our discussions with ODM related to this process, we believe that the withhold will remain reasonably achievable by the MCPs. The capitation rates were developed such that the MCPs are reasonably expected to achieve a medical loss ratio greater than 85 percent, which includes provisions for non-benefit costs that are appropriate and attainable. ODM’s provider agreement indicates that ODM will perform medical loss ratio (MLR) calculations for the MMC program. ODM has implemented a minimum MLR requirement of 86% for the MMC program. ODM will require remittance in the event an MCP reports an MLR below 86%.
Sample 1
INCENTIVES AND WITHHOLDS i. Incentives Incentive payments under this plan are below 105% of the certified rates paid under the contract, as pay-for-performance payments are 1.5% in aggregate. Note, the MCP/Hospital Incentive program is a provider pass-through payment, not an incentive program that potentially provides additional funding to contracted MCPs.
Sample 1
INCENTIVES AND WITHHOLDS i. Withholds There are no provisions for withholds in the CY 2017 capitation payments. ii. Estimate of percent to be returned In SFY 2014, 2015, and 2016, the MCPs in aggregate received 22%, 26%, and 34%, respectively, of available pay-for- performance payments from ODM. iii. Effect on the capitation rates The rate is certified as actuarially sound with or without the pay for performance incentive measures. 13 xxxx://xxxxx.xxxx.xxx/oac/5160-26-09
Sample 1
INCENTIVES AND WITHHOLDS i. Withholds Withholds constitute 3% of the certified rates. ii. Estimate of percent to be returned Experience from the MyCare withhold measures from prior years has yet to be measured. The amount of withhold that will be returned in CY 2017 is uncertain. iii. Effect on the capitation rates The rate is certified as actuarially sound assuming the withhold amount is not returned.
Sample 1
INCENTIVES AND WITHHOLDS 
Sample 1
AutoNDA by SimpleDocs

Related to INCENTIVES AND WITHHOLDS

  • Deductions and Withholdings All amounts payable or which become payable hereunder shall be subject to all deductions and withholding required by law.

  • Deductions and Withholding The Executive agrees that the Company or its subsidiaries or affiliates, as applicable, shall withhold from any and all compensation paid to and required to be paid to the Executive pursuant to this Agreement, all Federal, state, local and/or other taxes which the Company determines are required to be withheld in accordance with applicable statutes or regulations from time to time in effect and all amounts required to be deducted in respect of the Executive’s coverage under applicable employee benefit plans. For purposes of this Agreement and calculations hereunder, all such deductions and withholdings shall be deemed to have been paid to and received by the Executive.

  • Share Withholding The Committee may permit a Participant to satisfy all or part of his or her withholding or income tax obligations by having the Company withhold all or a portion of any Shares that otherwise would be issued to him or her or by surrendering all or a portion of any Shares that he or she previously acquired. Such Shares shall be valued at their Fair Market Value on the date when taxes otherwise would be withheld in cash. In no event may a Participant have Shares withheld that would otherwise be issued to him or her in excess of the number necessary to satisfy the minimum legally required tax withholding.

  • Required Withholding Each of the Exchange Agent, Parent, and the Surviving Corporation shall be entitled to deduct and withhold from any consideration payable or otherwise deliverable pursuant to this Agreement to any holder or former holder of Company Common Stock such amounts as may be required to be deducted or withheld therefrom under the Code or under any provision of state, local or foreign tax law or under any other applicable legal requirement. To the extent such amounts are so deducted or withheld, such amounts shall be treated for all purposes under this Agreement as having been paid to the person to whom such amounts would otherwise have been paid.

  • Taxes and Withholding No later than the date as of which an amount first becomes includible in the gross income of the Participant for federal, state, local, foreign income, employment or other tax purposes with respect to any Restricted Stock Units, the Participant shall pay to the Company, or make arrangements satisfactory to the Company regarding the payment of, all federal, state, local and foreign taxes that are required by applicable laws and regulations to be withheld with respect to such amount. The obligations of the Company under this Agreement shall be conditioned on compliance by the Participant with this Section 8, and the Company shall, to the extent permitted by law, have the right to deduct any such taxes from any payment otherwise due to the Participant, including deducting such amount from the delivery of Shares upon settlement of the Restricted Stock Units that gives rise to the withholding requirement.

  • Taxes and Withholdings The Employer may withhold from any amounts payable under this Agreement, including any benefits or Severance Payment, such federal, state or local taxes as may be required to be withheld pursuant to applicable law or regulations, which amounts shall be deemed to have been paid to Executive.

  • Damages and Withholding Notwithstanding any other remedial action by the UCRC, the Contractor shall remain liable to the UCRC for any damages sustained by the UCRC by virtue of any breach under this SCIA by the Contractor and the UCRC may withhold any payment to the Contractor for the purpose of mitigating the UCRC’s damages, until such time as the exact amount of damages due to the UCRC from the Contractor is determined. The UCRC may withhold any amount that may be due the Contractor as the UCRC deems necessary to protect the UCRC against loss.

  • Xxx Withholding Notwithstanding any other provision of this Agreement, the Company may withhold from amounts payable under this Agreement all federal, state, local and foreign taxes that are required to be withheld by applicable laws or regulations.

  • Withholding of Taxes and Other Employee Deductions Company may withhold from any benefits and payments made pursuant to this Agreement all federal, state, city and other taxes as may be required pursuant to any law or governmental regulation or ruling and all other normal employee deductions made with respect to Company’s employees generally.

  • Tax Liability and Withholding 8.1. The Grantee shall be required to pay to the Company, and the Company shall have the right to deduct from any compensation paid to the Grantee pursuant to the Plan, the amount of any required withholding taxes in respect of the Restricted Stock and to take all such other action as the Committee deems necessary to satisfy all obligations for the payment of such withholding taxes. The Committee may permit the Grantee to satisfy any federal, state or local tax withholding obligation by any of the following means, or by a combination of such means: (a) tendering a cash payment; (b) authorizing the Company to withhold shares of Common Stock from the shares of Common Stock otherwise issuable or deliverable to the Grantee as a result of the vesting of the Restricted Stock; provided, however, that no shares of Common Stock shall be withheld with a value exceeding the minimum amount of tax required to be withheld by law; or (c) delivering to the Company previously owned and unencumbered shares of Common Stock. 8.2. Notwithstanding any action the Company takes with respect to any or all income tax, social insurance, payroll tax, or other tax-related withholding (“Tax-Related Items”), the ultimate liability for all Tax-Related Items is and remains the Grantee’s responsibility and the Company (a) makes no representation or undertakings regarding the treatment of any Tax-Related Items in connection with the grant or vesting of the Restricted Stock or the subsequent sale of any shares; and (b) does not commit to structure the Restricted Stock to reduce or eliminate the Grantee’s liability for Tax-Related Items.

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!