Payment Change –Acuity Modifier Sample Clauses

Payment Change –Acuity Modifier. The Parties agree to set aside $40 million to develop and implement a premium for PEM agreements for the acuity of patients enrolled to a physician (“Acuity Modifier”). The PHCC will advise/support the systems implementation of the Acuity Modifier in two phases over two years: □ Year 1 – selecting of an acuity adjustment tool, testing it against OHIP data, and designing the payment system. □ Year 2 – conducting systems testing, adjusting the tool to Ministry payment systems, providing physician education, and developing a communications plan. The PHCC shall report back to the Parties by January 2014 with recommendations for the acuity adjustment tool that will be selected as the Acuity Modifier. Until the Acuity Modifier is implemented, the Parties agree to implement an interim modifier (“Interim Modifier”). The Interim Modifier will be developed by the Parties through the PHCC based on information provided by OHIP, Canadian Institute for Health Information, and Ontario Drug Benefits program claims data. The Interim Modifier shall be recommended to the Parties for approval March 1, 2013, for implementation in fiscal 2012/13, and will be replaced by the Acuity Modifier once that has been approved and implemented.