Performance Reviews. a. Contractor shall attend regular performance review meetings held by EOHHS at EOHHS’ offices, or at another location determined by EOHHS, each quarter or more frequently in EOHHS’ discretion; b. Contractor shall ensure that Key Personnel and other staff with appropriate expertise are present in person at such meetings, as requested by EOHHS, including but not limited to Contractor’s MassHealth Executive Director; c. Contractor shall prepare materials and information for such meetings as further directed by EOHHS, including but not limited to materials and information such as: 1) Reports, in a form and format approved by EOHHS, on Contractor’s performance under this Contract, including but not limited to measures such as: a) Costs of care for Enrollees by Rating Category and category of service; b) Performance reporting information; c) Quality Measure performance; d) Measures of Enrollee utilization across categories of service and other indicators of changes in patterns of care; e) Variation and trends in any such performance measures at the level of individual PCPs; f) Completeness and validity of any data submissions made to EOHHS; g) Opportunities the Contractor identifies to improve performance, and plans to improve such performance, including plans proposed to be implemented by the Contractor for PCPs or other Network Providers; h) Changes in Contractor’s staffing and organizational development; i) Performance of Material Subcontractors including but not limited to any changes in or additions to Material Subcontractor relationships; and j) Utilization metrics; k) Any other measures deemed relevant by Contractor or requested by EOHHS; 2) Updates and analytic findings from any reviews requested by EOHHS, such as reviews of data irregularities; 3) Updates on any action items and requested follow-ups from prior meetings or communications with EOHHS; and d. Contractor shall, within two business days following each performance review meeting, prepare and submit to EOHHS for review and approval a list of any action items, requested follow-ups for the next meeting, and estimated timelines for delivery, in a form and format specified by EOHHS;
Appears in 4 contracts
Samples: Masshealth Managed Care Organization Contract, Masshealth Managed Care Organization Contract, Managed Care Organization Contract
Performance Reviews. a. Contractor shall attend regular performance review meetings held by EOHHS at EOHHS’ offices, or at another location determined by EOHHS, each quarter or more frequently in EOHHS’ discretion;
b. Contractor shall ensure that Key Personnel and other staff with appropriate expertise are present in person at such meetings, as requested by EOHHS, including but not limited to Contractor’s MassHealth Executive Director;
c. Contractor shall prepare materials and information for such meetings as further directed by EOHHS, including but not limited to materials and information such as:
1) Reports, in a form and format approved by EOHHS, on Contractor’s performance under this Contract, including but not limited to measures such as:
a) Costs of care for Enrollees by Rating Category and category of service;
b) Performance reporting information;
c) Quality Measure performance;
d) Measures of Enrollee utilization across categories of service and other indicators of changes in patterns of care;
e) Variation and trends in any such performance measures at the level of individual PCPs;
f) DSRIP payments received and spent;
g) Completeness and validity of any data submissions made to EOHHS;
gh) Opportunities the Contractor identifies to improve performance, and plans to improve such performance, including plans proposed to be implemented by the Contractor for PCPs or other Network Providers;
hi) Changes in Contractor’s staffing and organizational development;
ij) Performance of Material Subcontractors including but not limited to any changes in or additions to Material Subcontractor relationships; and
jk) Utilization metrics;
kl) Any other measures deemed relevant by Contractor or requested by EOHHS;
2) Updates and analytic findings from any reviews requested by EOHHS, such as reviews of data irregularities;
3) Updates on any action items and requested follow-ups from prior meetings or communications with EOHHS; and
d. Contractor shall, within two business days following each performance review meeting, prepare and submit to EOHHS for review and approval a list of any action items, requested follow-ups for the next meeting, and estimated timelines for delivery, in a form and format specified by EOHHS;
Appears in 3 contracts
Samples: Contract, Accountable Care Partnership Plan Contract, Accountable Care Partnership Plan Contract
Performance Reviews. a. The Contractor shall attend regular performance review meetings held by EOHHS at EOHHS’ offices, or at another location determined by EOHHS, each quarter or more frequently in EOHHS’ discretion;
b. The Contractor shall ensure that Key Personnel and other staff with appropriate expertise are present in person at such meetings, as requested by EOHHS, including but not limited to the Contractor’s MassHealth Executive Director;
c. The Contractor shall prepare materials and information for such meetings as further directed by EOHHS, including but not limited to materials and information such as:
1) Reports, Reporting in a form and format approved by EOHHS, EOHHS on the Contractor’s performance under this Contract, including but not limited to measures such as:
a) Costs of care for Enrollees by Rating Category and category of serviceEnrollees;
b) Performance reporting information;
c) Quality Measure performance;
dc) Measures of Enrollee utilization across categories of service and other indicators of changes in patterns of care;
ed) Variation and trends in any such performance measures at the level of individual PCPsParticipating PCC level;
e) DSRIP payments received and spent;
f) Completeness and validity of any data submissions made to EOHHS;
g) Opportunities the Contractor identifies to improve performance, and plans to improve such performance, including plans proposed to be implemented by the Contractor for PCPs Participating PCCs or other Network Affiliated Providers;
h) Changes in the Contractor’s staffing and organizational development;
i) Performance of Material Subcontractors including but not limited to any changes in or additions to Material Subcontractor relationships; and
j) Utilization metrics;
k) Any other measures deemed relevant by the Contractor or requested by EOHHS;
2) Updates and analytic findings from any reviews requested by EOHHS, such as reviews of data irregularities;; and
3) Updates on any action items and requested follow-ups from prior meetings or communications with EOHHS; and;
d. The Contractor shall, within two business days following each performance review meeting, prepare and submit to EOHHS for review and approval a list of any action items, requested follow-ups for the next meeting, and estimated timelines for delivery, in a form and format specified by EOHHS;
Appears in 3 contracts
Samples: Contract for Primary Care Accountable Care Organization Services, Contract, Primary Care Accountable Care Organization Contract
Performance Reviews. a. The Contractor shall attend regular performance review meetings held by EOHHS at EOHHS’ offices, or at another location determined by EOHHS, each quarter or more frequently in EOHHS’ discretion;
b. The Contractor shall ensure that Key Personnel and other staff with appropriate expertise are present in person at such meetings, as requested by EOHHS, including but not limited to Contractor’s MassHealth Executive Director;
c. The Contractor shall prepare materials and information for such meetings as further directed by EOHHS, including but not limited to materials and information such as:
1) Reports, Reporting in a form and format approved by EOHHS, EOHHS on Contractor’s performance under this Contract, including but not limited to measures such as:
a) Costs of care for Enrollees by Rating Category and category of serviceAttributed Members;
b) Performance reporting information;
c) Quality Measure performance;
dc) Measures of Enrollee utilization across categories of service and other indicators of changes in patterns of care;
ed) Variation and trends in any such performance measures at the level of individual PCPsParticipating PCP level;
e) DSRIP payments received and spent;
f) Completeness and validity of any data submissions made to EOHHS;
g) Opportunities the Contractor identifies to improve performance, and plans to improve such performance, including plans proposed to be implemented by the Contractor for Participating PCPs or other Network Affiliated Providers;
h) Changes in Contractor’s staffing and organizational development;
i) Performance of Material Subcontractors including but not limited to any changes in or additions to Material Subcontractor relationships; and
j) Utilization metrics;
k) Any other measures deemed relevant by Contractor or requested by EOHHS;
2) Updates and analytic findings from any reviews requested by EOHHS, such as reviews of data irregularities;; and
3) Updates on any action items and requested follow-ups from prior meetings or communications with EOHHS; and;
d. The Contractor shall, within two business days following each performance review meeting, prepare and submit to EOHHS for review and approval a list of any action items, requested follow-ups for the next meeting, and estimated timelines for delivery, in a form and format specified by EOHHS;; Timely response to EOHHS requests.
Appears in 1 contract
Samples: Contract for Mco Administered Accountable Care Organization
Performance Reviews. a. Contractor shall attend regular performance review meetings held by EOHHS at EOHHS’ offices, or at another location determined by EOHHS, each quarter or more frequently in EOHHS’ discretion;
b. Contractor shall ensure that Key Personnel and other staff with appropriate expertise are present in person at such meetings, as requested by EOHHS, including but not limited to Contractor’s MassHealth Executive Director;
c. Contractor shall prepare materials and information for such meetings as further directed by EOHHSXXXXX, including but not limited to materials and information such as:
1) Reports, in a form and format approved by EOHHS, on Contractor’s performance under this Contract, including but not limited to measures such as:
a) Costs of care for Enrollees by Rating Category and category of service;
b) Performance reporting information;
c) Quality Measure performance;
d) Measures of Enrollee utilization across categories of service and other indicators of changes in patterns of care;
e) Variation and trends in any such performance measures at the level of individual PCPs;
f) DSRIP payments received and spent;
g) Completeness and validity of any data submissions made to EOHHS;
gh) Opportunities the Contractor identifies to improve performance, and plans to improve such performance, including plans proposed to be implemented by the Contractor for PCPs or other Network Providers;
hi) Changes in Contractor’s staffing and organizational development;
ij) Performance of Material Subcontractors including but not limited to any changes in or additions to Material Subcontractor relationships; and
jk) Utilization metrics;
kl) Any other measures deemed relevant by Contractor or requested by EOHHS;
2) Updates and analytic findings from any reviews requested by EOHHS, such as reviews of data irregularities;
3) Updates on any action items and requested follow-ups from prior meetings or communications with EOHHS; and
d. Contractor shall, within two business days following each performance review meeting, prepare and submit to EOHHS for review and approval a list of any action items, requested follow-ups for the next meeting, and estimated timelines for delivery, in a form and format specified by EOHHS;
Appears in 1 contract
Performance Reviews. a. 2.3.8.1.1 The Contractor shall attend regular performance review meetings held by EOHHS LDH at EOHHS’ LDH’s offices, or at another location determined by EOHHSLDH, each quarter or more frequently in EOHHS’ at LDH’s discretion;
b. 2.3.8.1.2 The Contractor shall ensure that Key Personnel key personnel and other staff with appropriate expertise are present in person at such meetings, as requested by EOHHSLDH, including but not limited to to, the Contractor’s MassHealth Executive DirectorCEO;
c. 2.3.8.1.3 The Contractor shall prepare materials and information for such meetings as further directed by EOHHSLDH, including but not limited to to, materials and information such as:
1) 2.3.8.1.3.1 Reports, in a form and format approved by EOHHSLDH, on Contractor’s performance under this Contract, including but not limited to to, measures such as:
a) : Costs of care for Enrollees enrollees by Rating Category program and category of service;
b) ; Performance reporting information;
c) ; Quality Measure measure performance;
d) ; Measures of Enrollee enrollee utilization across categories of service and other indicators of changes in patterns of care;
e) ; Variation and trends in any such performance measures at the level of individual PCPs;
f) ; Completeness and validity of any data submissions made to EOHHS;
g) LDH; Opportunities the Contractor identifies to improve performance, performance and plans to improve such performance, including plans proposed to be implemented by the Contractor for PCPs or other Network Providers;
h) network providers; Changes in Contractor’s staffing and organizational development;
i) ; Performance of Material Subcontractors material subcontractors, including but not limited to to, any changes in or additions to Material Subcontractor material subcontractor relationships; and
j) Utilization metrics;
k) and Any other measures deemed relevant by Contractor or requested by EOHHS;LDH.
2) 2.3.8.1.3.2 Updates and analytic findings from any reviews requested by EOHHSLDH, such as reviews of data irregularities;; and
3) 2.3.8.1.3.3 Updates on any action items and requested follow-ups from prior meetings or communications with EOHHS; andLDH.
d. 2.3.8.1.4 The Contractor shall, within two (2) business days following each performance review meeting, prepare and submit to EOHHS LDH for review and approval a list of any action items, requested follow-ups for the next meeting, and estimated timelines for delivery, in a form and format specified by EOHHS;LDH.
Appears in 1 contract
Performance Reviews. a. The Contractor shall attend regular performance review meetings held by EOHHS at EOHHS’ offices, or at another location determined by EOHHS, each quarter or more frequently in EOHHS’ discretion;
b. The Contractor shall ensure that Key Personnel and other staff with appropriate expertise are present in person at such meetings, as requested by EOHHS, including but not limited to the Contractor’s MassHealth Executive Director;
c. The Contractor shall prepare materials and information for such meetings as further directed by EOHHSXXXXX, including but not limited to materials and information such as:
1) Reports, Reporting in a form and format approved by EOHHS, EOHHS on the Contractor’s performance under this Contract, including but not limited to measures such as:
a) Costs of care for Enrollees by Rating Category and category of serviceEnrollees;
b) Performance reporting information;
c) Quality Measure performance;
dc) Measures of Enrollee utilization across categories of service and other indicators of changes in patterns of care;
ed) Variation and trends in any such performance measures at the level of individual PCPsParticipating PCC level;
e) DSRIP payments received and spent;
f) Completeness and validity of any data submissions made to EOHHS;
g) Opportunities the Contractor identifies to improve performance, and plans to improve such performance, including plans proposed to be implemented by the Contractor for PCPs Participating PCCs or other Network Affiliated Providers;
h) Changes in the Contractor’s staffing and organizational development;
i) Performance of Material Subcontractors including but not limited to any changes in or additions to Material Subcontractor relationships; and
j) Utilization metrics;
k) Any other measures deemed relevant by the Contractor or requested by EOHHSXXXXX;
2) Updates and analytic findings from any reviews requested by EOHHS, such as reviews of data irregularities;; and
3) Updates on any action items and requested follow-ups from prior meetings or communications with EOHHS; and;
d. The Contractor shall, within two business days following each performance review meeting, prepare and submit to EOHHS for review and approval a list of any action items, requested follow-ups for the next meeting, and estimated timelines for delivery, in a form and format specified by EOHHS;
Appears in 1 contract
Samples: Contract for Primary Care Accountable Care Organization Services
Performance Reviews. a. The Contractor shall attend regular performance review meetings held as directed by EOHHS at EOHHS’ offices, or at another location determined by EOHHS, each quarter or more frequently in EOHHS’ discretionXXXXX;
b. The Contractor shall ensure that Key Personnel and other staff with appropriate expertise are present in person at such meetingsexpertise, as requested by EOHHS, including but not limited to Contractor’s MassHealth Executive Directorattend such meetings;
c. The Contractor shall prepare materials and information for such meetings as further directed by EOHHSXXXXX, including but not limited to materials and information such as:
1) Reports, Reporting in a form and format approved by EOHHS, EOHHS on the Contractor’s performance under this Contract, including but not limited to measures such as:
a) Costs of care for Enrollees by Rating Category and category of serviceEnrollees;
b) Performance reporting information;
c) Quality Measure performance;
d) Measures of Enrollee utilization across categories of service and other indicators of changes in patterns of care;
e) Variation and trends in any such performance measures at the level of individual PCPsParticipating PCP level;
f) Completeness and validity of any data submissions made to EOHHS;
g) Opportunities the Contractor identifies to improve performance, and plans to improve such performance, including plans proposed to be implemented by the Contractor for Participating PCPs or other Network Affiliated Providers;
h) Changes in the Contractor’s staffing and organizational development;
i) Performance of Material Subcontractors including but not limited to any changes in or additions to Material Subcontractor relationships; and;
j) Utilization metrics;Health Equity data completion and disparities reduction metrics as further specified by EOHHS; and
k) Any other measures deemed relevant by the Contractor or requested by EOHHS;
2) Updates and analytic findings from any reviews requested by EOHHS, such as reviews of data irregularities;; and
3) Updates on any action items and requested follow-ups from prior meetings or communications with EOHHS; and;
d. The Contractor shall, within two business days following each performance review meeting, prepare and submit to EOHHS for review and approval a list of any action items, requested follow-ups for the next meeting, and estimated timelines for delivery, in a form and format specified by EOHHS;
Appears in 1 contract
Performance Reviews. a. Contractor shall attend regular performance review meetings held by EOHHS at EOHHS’ offices, or at another location determined by EOHHS, each quarter or more frequently in EOHHS’ discretion;
b. Contractor shall ensure that Key Personnel and other staff with appropriate expertise are present in person at such meetings, as requested by EOHHS, including but not limited to Contractor’s MassHealth Executive Director;
c. Contractor shall prepare materials and information for such meetings as further directed by EOHHSXXXXX, including but not limited to materials and information such as:
1) Reports, in a form and format approved by EOHHS, on Contractor’s performance under this Contract, including but not limited to measures such as:
a) Costs of care for Enrollees by Rating Category and category of service;
b) Performance reporting information;
c) Quality Measure performance;
d) Measures of Enrollee utilization across categories of service and other indicators of changes in patterns of care;
e) Variation and trends in any such performance measures at the level of individual PCPs;
f) DSRIP payments received and spent;
g) Completeness and validity of any data submissions made to EOHHS;
gh) Opportunities the Contractor identifies to improve performance, and plans to improve such performance, including plans proposed to be implemented by the Contractor for PCPs or other Network Providers;
hi) Changes in Contractor’s staffing and organizational development;organizational
ij) Performance of Material Subcontractors including but not limited to any changes in or additions to Material Subcontractor relationships; and
jk) Utilization metrics;
kl) Any other measures deemed relevant by Contractor or requested by EOHHS;
2) Updates and analytic findings from any reviews requested by EOHHS, such as reviews of data irregularities;
3) Updates on any action items and requested follow-ups from prior meetings or communications with EOHHS; and
d. Contractor shall, within two business days following each performance review meeting, prepare and submit to EOHHS for review and approval a list of any action items, requested follow-ups for the next meeting, and estimated timelines for delivery, in a form and format specified by EOHHS;
Appears in 1 contract
