Non-Capitated Performance Settlement Schedule Sample Clauses
The Non-Capitated Performance Settlement Schedule clause defines how payments are calculated and settled based on actual performance rather than a fixed, per-member amount. Under this arrangement, compensation is typically tied to specific services rendered, outcomes achieved, or other measurable criteria, rather than a predetermined capitation fee. This approach ensures that providers are reimbursed according to the volume or quality of services delivered, addressing the need for fair compensation and aligning incentives with performance rather than enrollment numbers.
Non-Capitated Performance Settlement Schedule. Non-Capitated Performance Settlement Schedule shall mean a schedule that will be the basis for determining the Non-Capitated Performance Settlement. This schedule presents BLUE CROSS’s prior year aggregate PMPM Non-Capitated Expenses adjusted by factors to account for medical inflation. Exhibit F (incorporated by reference herein) sets forth the Non-Capitated Performance Settlement Schedule.