Performance Year Expenditures Sample Clauses
The 'Performance Year Expenditures' clause defines how costs and spending are tracked and attributed within a specific annual period under an agreement or contract. Typically, this clause outlines which expenses are counted during the designated performance year, such as operational costs, project investments, or reimbursable charges, and may specify reporting or documentation requirements. Its core function is to ensure accurate financial accounting and transparency for all parties by clearly delineating which expenditures are relevant to each performance year, thereby preventing disputes over cost allocation and budget compliance.
Performance Year Expenditures. For purposes of conducting financial settlement pursuant to Section VIII.C of the Agreement, expenditures will be calculated separately for each of the two Entitlement Categories: ESRD Beneficiaries and A/D Beneficiaries. CMS will apply the same inclusions and exclusions in determining the Performance Year expenditures as those described in Section III.C of this Appendix with respect to determining the Base Year expenditures for purposes of the calculation of the Performance Year Benchmark, except that only Medicare claims with a date of service during the Performance Year and that are paid within 3 months of the close of the Performance Year will be included. The total Performance Year expenditure is the sum of the following two amounts:
1. The Performance Year expenditure for A/D Beneficiaries who are Initiative Beneficiaries multiplied by the person-months accrued to the A/D Entitlement Category by Initiative Beneficiaries during the Performance Year; and
2. The Performance Year expenditure for ESRD Beneficiaries who are Initiative Beneficiaries multiplied by the person-months accrued to the ESRD Entitlement Category by Initiative Beneficiaries during the Performance Year. This can be expressed as a per-Beneficiary per-month expenditure by dividing the total Performance Year expenditure by the total number of person-months accrued during the Performance Year by Initiative Beneficiaries.2
Performance Year Expenditures. For purposes of conducting financial settlement pursuant to Section XIII.C of the Agreement, expenditures will be calculated separately for each of the two Entitlement Categories: ESRD Beneficiaries and A/D Beneficiaries. CMS will apply inclusions and exclusions in determining the Performance Year expenditures as described in Section IV.C.1 of this Appendix for Medicare claims with a date of service during the Performance Year and that are paid within 6 months of the close of the Performance Year. CMS may, at CMS’s sole discretion, modify the inclusions and exclusions used in determining the Performance Year expenditures as needed for consistency with the GMCB’s Performance Year Benchmark methodology for purposes of conducting financial settlement. The total Performance Year expenditure is the sum of the following two amounts:
Performance Year Expenditures. For purposes of conducting financial settlement pursuant to Section XIII.C of the Agreement, expenditures will be calculated separately for each of the two Entitlement Categories: ESRD