POS Shared Risk Budgets Sample Clauses
The POS Shared Risk Budgets clause establishes a financial arrangement where both parties share responsibility for costs or losses associated with point-of-sale (POS) operations. Typically, this clause outlines how budget overruns, unexpected expenses, or specific risks tied to POS activities are allocated between the parties, often through predefined percentages or caps. By clearly defining how financial risks are distributed, the clause helps prevent disputes and ensures that both parties are incentivized to manage costs effectively.
POS Shared Risk Budgets. The budgets shall be determined for each Commercial POS population: Standard POS, Small Group POS and, at a later date, Individual POS Members. Each Budget shall cover In-Network, Out-of-Network and Out-of-Area Shared Risk Services. Each of the normalized Shared Risk Budgets shall be equal to the normalized HMO Shared Risk Budget, or institutional capitation PMPM, if applicable, and multiplied by one hundred ten percent (110%). Actual Shared Risk Budget shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates.
POS Shared Risk Budgets. The budgets shall be determined for each Commercial POS population: Standard POS, Small Group POS and, at a later date, Individual POS Members. Each Budget shall cover In-Network, Out-of-Network and Out-of-Area Shared Risk Services. The Shared Risk Budgets effective January 1, 1998 shall be a flat amount. Each of the Shared Risk Budgets shall be equal to the HMO Shared Risk Budget, or institutional capitation PMPM, if applicable, and multiplied by ***. January 1, 1998 to June 30, 1998 $ *** PMPM $ *** PMPM $ ***PMPM July 1, 1998 to August 31, 1998 $ PMPM (See Section A7 above) $ PMPM (See Section A7 above) $ PMPM (See Section A7 above) September 1, 1998 $ PMPM (See Section A8 above) $ PMPM (See Section A8 above) $ PMPM (See Section A8 above)
POS Shared Risk Budgets. The budgets shall be determined for each Commercial POS population: Standard POS, Small Group POS and, at a later date, Individual POS Members. Each Budget shall cover In-Network, Out-of-Network and Out-of-Area Shared Risk Services. Each of the normalized Shared Risk Budgets shall be equal to the normalized HMO Shared Risk Budget, or institutional capitation PMPM, if applicable, and multiplied by *** Actual Shared Risk Budget shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates. April 1, 2003, through December 31, 2003 *** PMPM $*** PMPM *** PMPM January 1, 2004, *** PMPM $*** PMPM *** PMPM
POS Shared Risk Budgets. The budgets shall be determined for each Commercial POS population. Standard POS and Small Group POS Members Each Budget shall cover In-Network. Out-of-Network and Out-of-Area Shared Risk Services. Each of the normalized Shared Risk Budgets shall be equal to the normalized HMO Shared Risk Budget, or institutional capitation PMPM, if applicable, and multiplied by one hundred ten percent (100%). Actual Shared Risk Budget shall fluctuate from month to month to the extent that PPG’s age, sex and benefit plan mix fluctuates October 1, 2002 - September 30, 2003 $ *** $ *** October 1, 2003 $ *** $ *** 11 Effective October 1, 2002, Addendum B, Section G, Subsection 8. AIDS Transplant Reinsurance, shall be deleted in its entirety and replaced with the following: