Common use of Management Bonus Clause in Contracts

Management Bonus. Blue Cross will evaluate PARTICIPATING MEDICAL GROUP’s Quality Management Program and Member quality of care using a scorecard. PARTICIPATING MEDICAL GROUP will be notified of the scorecard parameters and scoring methodology prior to the start of each year, as described in the Operations Manual. PARTICIPATING MEDICAL GROUP must meet minimum eligibility criteria to receive a scorecard score and therefore to be eligible for a Quality Management Bonus. These criteria include a minimum of 12,000 Member months for a calendar year and submission to BLUE CROSS of all necessary encounter data. A Quality Management Bonus will be paid if PARTICIPATING MEDICAL GROUP’s performance on the scorecard is average or above average. No Quality Management Bonus will be paid if PARTICIPATING MEDICAL GROUP’s scorecard performance is below average. BLUE CROSS will notify PARTICIPATING MEDICAL GROUP of the scorecard results sixty (60) days following the end of the calendar year. The Quality Management Bonus paid to PARTICIPATING MEDICAL GROUP, should a payment be due in accordance with the PMPM Quality Management Bonus Schedule shown in Exhibit I (incorporated by reference herein), will be made by the fifteenth of June following the end of the calendar year for which it is based.

Management Bonus. Blue Cross will evaluate PARTICIPATING MEDICAL GROUP’s Quality Management Program and Member quality of care using a scorecard. PARTICIPATING MEDICAL GROUP will be notified of the scorecard parameters and scoring methodology prior to the start of each year, as described in the Operations Manual. PARTICIPATING MEDICAL GROUP must meet minimum eligibility criteria to receive a scorecard score and therefore to be eligible for a Quality Management Bonus. These criteria include a minimum of 12,000 12.000 Member months for a calendar year and submission to BLUE CROSS of all necessary encounter data. A Quality Management Bonus will be paid if PARTICIPATING MEDICAL GROUP’s performance on the scorecard is average or above average. No Quality Management Bonus will be paid if PARTICIPATING MEDICAL GROUP’s scorecard performance is below average. BLUE CROSS will notify PARTICIPATING MEDICAL GROUP of the scorecard results sixty (60) days following the end of the calendar year. The Quality Management Bonus paid to PARTICIPATING MEDICAL GROUP, should a payment be due in accordance with the PMPM Quality Management Bonus Schedule shown in Exhibit I (incorporated by reference herein), will be made by the fifteenth of June following the end of the calendar year for which it is based.