Common use of Managed Care Contracting Clause in Contracts

Managed Care Contracting. 3.2.1. Manager shall act as GROUP’s exclusive agent in seeking and negotiating managed care contracts (“Contracts”). Manager is hereby authorized to negotiate, in its sole discretion, all terms of the Contracts. GROUP hereby appoints Manager for the term hereof as its true and lawful agent to perform all actions contemplated by this Section including, without limitation, the evaluation, negotiation, administration, renewal and execution of Contracts on GROUP’s behalf and binding GROUP to performance thereunder, provided that the Plan with whom each Contract is entered agrees to pay an amount for GROUP’s professional services thereunder equal to or greater than the minimum rate that GROUP shall specify to Manager. GROUP shall complete and execute the Power of Agency attached hereto as Exhibit “C.” 3.2.2. Manager shall also be responsible for general monitoring of GROUP compliance with the requirements, terms and conditions of Plan Contracts. 3.2.3. Manager shall notify and provide copies to GROUP of each Contract (together with all related materials received from the applicable Payor) that Manager executes as GROUP’s agent. GROUP shall comply with all terms of each Contract including, without limitation, the terms of all documents or instruments incorporated therein by reference and all documents or instruments related thereto that Manager executes or agrees to on GROUP’s behalf, as well as all applicable law. GROUP further agrees that an essential term of this Agreement is GROUP’s undertaking to provide cost-effective medical care consistent with accepted medical practices prevailing in the GROUP’s service area. 3.2.4. Nothing in this Agreement shall prevent Manager from entering into similar agreements with Plans on behalf of other independent practice associations, medical groups, physicians, health care professionals or entities comprised of physician or health care professionals. 3.2.5. GROUP acknowledges and agrees that (i) Manager shall in no way be responsible for payment of any sums payable to GROUP under any such Contract (whether by any Payor or otherwise), and (ii) Manager in no way guarantees or insures the payment to GROUP of any such amounts.

Appears in 4 contracts

Samples: Management Services Agreement (Prospect Medical Holdings Inc), Management Services Agreement (Prospect Medical Holdings Inc), Management Services Agreement (Prospect Medical Holdings Inc)

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Managed Care Contracting. 3.2.1. Manager shall act as GROUP’s 's exclusive agent in seeking and negotiating managed care contracts ("Contracts"). Manager is hereby authorized to negotiate, in its sole discretion, all terms of the Contracts. GROUP hereby appoints Manager for the term hereof as its true and lawful agent to perform all actions contemplated by this Section including, without limitation, the evaluation, negotiation, administration, renewal and execution of Contracts on GROUP’s 's behalf and binding GROUP to performance thereunder, provided that the Plan with whom each Contract is entered agrees to pay an amount for GROUP’s 's professional services thereunder equal to or greater than the minimum rate that GROUP shall specify to Manager. GROUP shall complete and execute the Power of Agency attached hereto as Exhibit "C." 3.2.2. Manager shall also be responsible for general monitoring of GROUP compliance with the requirements, terms and conditions of Plan Contracts. 3.2.3. Manager shall notify and provide copies to GROUP of each Contract (together with all related materials received from the applicable Payor) that Manager executes as GROUP’s 's agent. GROUP shall comply with all terms of each Contract including, without limitation, the terms of all documents or instruments incorporated therein by reference and all documents or instruments related thereto that Manager executes or agrees to on GROUP’s 's behalf, as well as all applicable law. GROUP further agrees that an essential term of this Agreement is GROUP’s 's undertaking to provide cost-effective medical care consistent with accepted medical practices prevailing in the GROUP’s 's service area. 3.2.4. Nothing in this Agreement shall prevent Manager from entering into similar agreements with Plans on behalf of other independent practice associations, medical groups, physicians, health care professionals or entities comprised of physician or health care professionals. 3.2.5. GROUP acknowledges and agrees that (i) Manager shall in no way be responsible for payment of any sums payable to GROUP under any such Contract (whether by any Payor or otherwise), and (ii) Manager in no way guarantees or insures the payment to GROUP of any such amounts.

Appears in 4 contracts

Samples: Management Services Agreement (Prospect Medical Holdings Inc), Management Services Agreement (Prospect Medical Holdings Inc), Management Services Agreement (Prospect Medical Holdings Inc)

Managed Care Contracting. 3.2.1. Manager shall act as GROUP’s 's exclusive agent in seeking and negotiating managed care contracts ("Contracts"). Manager is hereby authorized to negotiate, in its sole discretion, all terms of the Contracts. GROUP hereby appoints Manager for the term hereof as its true and lawful agent to perform all actions contemplated by this Section including, without limitation, the evaluation, negotiation, administration, renewal and execution of Contracts on GROUP’s 's behalf and binding GROUP to performance thereunder, provided that the Plan with whom each Contract is entered agrees to pay an amount for GROUP’s 's professional services thereunder equal to or greater than the minimum rate that GROUP shall specify to Manager. GROUP shall complete and execute the Power of Agency attached hereto as Exhibit "C." 3.2.2. Manager shall also be responsible for general monitoring of GROUP compliance with the requirements, terms and conditions of Plan Contracts. 3.2.3. Manager shall notify and provide copies to GROUP of each Contract (together with all related materials received from the applicable Payor) that Manager executes as GROUP’s 's agent. GROUP shall comply with all terms of each Contract including, without limitation, the terms of all documents or instruments incorporated therein by reference and all documents or instruments related thereto that Manager executes or agrees to on GROUP’s 's behalf, as well as all applicable law. GROUP further agrees that an essential term of this Agreement is GROUP’s 's undertaking to provide cost-effective medical care consistent with accepted medical practices prevailing in the GROUP’s 's service area. 3.2.4. Nothing in this Agreement shall prevent Manager from entering into similar agreements with Plans on behalf of other independent practice associations, medical groups, physicians, health care professionals or entities comprised of physician or health care professionals. 3.2.5. GROUP acknowledges and agrees that (i) Manager shall in no way be responsible for payment of any sums payable to GROUP under any such Contract (whether by any Payor or otherwise), and (ii) Manager in no way guarantees or insures the payment to GROUP of any such amounts.

Appears in 1 contract

Samples: Management Services Agreement (Prospect Medical Holdings Inc)

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Managed Care Contracting. 3.2.1. Manager shall act as GROUP’s exclusive agent in seeking and negotiating managed care contracts (“Contracts”). Manager is hereby authorized to negotiate, in its sole discretion, all terms of the Contracts. GROUP hereby appoints Manager for the term hereof as its true and lawful agent to perform all actions contemplated by this Section including, without limitation, the evaluation, negotiation, administration, renewal and execution of Contracts on GROUP’s behalf and binding GROUP to performance thereunder, provided that the Plan with whom each Contract is entered agrees to pay an amount for GROUP’s professional services thereunder equal to or greater than the minimum rate that GROUP shall specify to Manager. GROUP shall complete and execute the Power of Agency attached hereto as Exhibit “C.” 3.2.2. Manager shall also be responsible for general monitoring of GROUP compliance with the requirements, terms and conditions of Plan Contracts. 3.2.3. Manager shall notify and provide copies to GROUP of each Contract (together with all related materials received from the applicable Payor) that Manager executes as GROUP’s agent. GROUP shall comply with all terms of each Contract including, without limitation, the terms of all documents or instruments incorporated therein by reference and all documents or instruments related thereto that Manager executes or agrees to on GROUP’s behalf, as well as all applicable law. GROUP further agrees that an essential term of this Agreement is GROUP’s undertaking to provide cost-effective medical care consistent with accepted medical practices prevailing in the GROUP’s service area. 3.2.4. Nothing in this Agreement shall prevent Manager from entering into similar agreements with Plans on behalf of other independent practice associations, medical groups, physicians, health care professionals or entities comprised of physician or health care professionals. 3.2.5. GROUP acknowledges and agrees that (i) Manager shall in no way be responsible for payment of any sums payable to GROUP under any such Contract (whether by any Payor or otherwise), and (ii) Manager in no way guarantees or insures the payment to GROUP of any such amounts.

Appears in 1 contract

Samples: Management Services Agreement (Prospect Medical Holdings Inc)

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