Common use of Provider and Payor Relationships Clause in Contracts

Provider and Payor Relationships. Administrator shall be responsible, subject to appropriate consultations with Group from time to time, for negotiating, establishing and supervising all contracts and relationships (collectively, the "Managed Care Contracts") with all managed care, institutional health care providers and payors, health maintenance organizations, preferred provider organizations, exclusive provider organizations, Medicare, Medicaid, insurance companies and other similar persons or entities (collectively, "Managed Care Payors") related to the Professional Operations and the Technical Operations. Group shall maintain all existing Managed Care Contracts with Managed Care Payors, and any approval, disapproval, termination or amendment of any Managed Care Contract with any Managed Care Payor shall be the responsibility and obligation of the Joint Planning Board. The Joint Planning Board shall act in a manner that is in the best business interests of the Professional Operations and the Technical Operations. Administrator shall have the right and authority to submit an application to obtain IDTF status for any or all of the Premises, and the Group shall reasonably assist and cooperate with Administrator in the preparation and filing of any such applications as may be requested by Administrator from time to time. Notwithstanding the preceding language, if a contract or relationship between any Managed Care Payor and the Group involves or affects a contract or relationship with any other physician group or practice serviced or managed by Administrator, Parent or any of their Affiliates (the "Other Practices") and a consensus among the Group and the Other Practices cannot be reached regarding the contract or relationship, then the ultimate decision as to the approval, disapproval, termination or amendment of such contract or relationship involving the Group, the Other Practices and such Managed Care Payor shall be determined by the affirmative vote of the Physician Board Members (as defined below) who hold a majority of the Group Voting Power (as defined below). For purposes of this Section 3.7, (i) the term "Physician Board Members" shall mean (a) those members appointed by the Group who serve on the Joint Planning Board and (b) those persons appointed by the Other Practices who serve on the Other Practices' joint boards (in a similar capacity to the Joint Planning Board) as part of their contractual relationship with Parent, Administrator or any of their Affiliates, and (ii) the term "Group Voting Power" shall mean the total voting percentage which may be cast by the Physician Board Members on a collective basis, with the percentage of votes able to be cast by any Group or Other Practice, as applicable, shall be equal to the quotient determined by dividing (x) the total estimated annual professional revenues to be generated by the Group from such Managed Care Contract as determined by Administrator, Parent or their Affiliates, as appropriate, in its sole discretion, by (y) the total estimated annual professional revenues to be generated by the Group and all Other Practices from such Managed Care Contract as determined by the Administrator, Parent or their Affiliates, as appropriate, in its sole discretion.

Provider and Payor Relationships. Upon request of the Group, Administrator shall be responsibleprovide financial and business assistance to the Group in the negotiation, subject to appropriate consultations with Group from time to timeestablishment, for negotiating, establishing supervision and supervising all maintenance of contracts and relationships (collectively, the "Managed Care Contracts") with all managed care, institutional health care providers and payors, health maintenance organizations, preferred provider organizations, exclusive provider organizations, Medicare, Medicaid, insurance companies companies, hospitals and other similar persons or entities (collectively, "Managed Care Payors") related to the Professional Operations and the Technical Operations). Group shall maintain all existing Managed Care Contracts with Managed Care Payors, and any approvalApproval, disapproval, termination or amendment of any contract or relationship of such Managed Care Contract Payors with any Managed Care Payor shall be the responsibility and obligation of Group shall, after consultation with (but not approval of) the Joint Planning Board. The Joint Planning Board shall act in a manner that is in , be the best business interests sole responsibility of the Professional Operations and the Technical Operations. Administrator shall have the right and authority to submit an application to obtain IDTF status for any or all of the Premises, and the Group shall reasonably assist and cooperate with Administrator in the preparation and filing of any such applications as may be requested by Administrator from time to timeGroup. Notwithstanding the preceding language, if a contract or relationship between any Managed Care Payor and the Group involves or affects a contract or relationship with any other physician group or practice serviced or managed by Administrator, Parent or any of their Affiliates (the "Other Practices") and a consensus among the Group and the Other Practices cannot be reached regarding the contract or relationship, then the ultimate decision as to the approval, disapproval, termination or amendment of such contract or relationship involving the Group, the Other Practices and such Managed Care Payor shall be determined by the affirmative vote of the "Physician Board Members Members" (as defined below) who hold a majority of the Group Voting Power (as defined below). For purposes of this Section 3.7, (i) the term "Physician Board Members" shall mean (a) those members appointed by the Group who serve on the Joint Planning Board and (b) those persons appointed by the Other Practices who serve on the Other Practices' joint boards (in a similar capacity to the Joint Planning Board) as part of their contractual relationship with Parent, Administrator or any of their Affiliates, and (ii) the term "Group Voting Power" shall mean the total voting percentage which may be cast by the Physician Board Members on a collective basis, with the percentage of votes able to be cast by any Group or Other Practice, as applicable, shall be equal to the quotient determined by dividing (x) the total estimated annual professional revenues to be generated by the Group from such Managed Care Contract as determined by Administrator, Parent or their Affiliates, as appropriate, in its sole discretion, by (y) the total estimated annual professional revenues to be generated by the Group and all Other Practices from such Managed Care Contract as determined by the Administrator, Parent or their Affiliates, as appropriate, in its sole discretion.

Provider and Payor Relationships. Administrator shall be responsibleprovide financial and business assistance to the Group in the negotiation, subject to appropriate consultations with Group from time to timeestablishment, for negotiating, establishing supervision and supervising all maintenance of contracts and relationships (collectively, the "Managed Care Contracts") with all managed care, institutional health care providers and payors, health maintenance organizations, preferred provider organizations, exclusive provider organizations, Medicare, Medicaid, insurance companies companies, hospitals and other similar persons or entities (collectively, "Managed Care Payors") related to the Professional Operations and the Technical Operations). Group shall maintain all existing Managed Care Contracts with Managed Care Payors, and any approvalApproval, disapproval, termination or amendment of any contract or relationship of such Managed Care Contract Payors with any Managed Care Payor shall be the responsibility and obligation of Group shall, after consultation with the Joint Planning Board. The Joint Planning Board shall act in a manner that is in , be the best business interests responsibility of the Professional Operations and the Technical OperationsGroup. Administrator shall have the right and authority to submit an application to obtain IDTF status for any or all of the Premises, and the Group shall reasonably assist and cooperate with Administrator in the preparation and filing of any such applications as may be requested by Administrator from time to time. [Notwithstanding the preceding language, if a contract or relationship between any Managed Care Payor and the Group involves or affects a contract or relationship with any other physician group or practice serviced or managed by Administrator, Parent or any of their Affiliates (the "Other Practices") and a consensus among the Group and the Other Practices cannot be reached regarding the contract or relationship, then the ultimate decision as to the approval, disapproval, termination or amendment of such contract or relationship involving the Group, the Other Practices and such Managed Care Payor shall be determined by the affirmative vote of the Physician Board Members (as defined below) who hold a majority of the Group Voting Power (as defined below). For purposes of this Section 3.7, (i) the term "Physician Board Members" shall mean (a) those members appointed by the Group who serve on the Joint Planning Board and (b) those persons appointed by the Other Practices who serve on the Other Practices' joint boards (in a similar capacity to the Joint Planning Board) as part of their contractual relationship with Parent, Administrator or any of their Affiliates, and (ii) the term "Group Voting Power" shall mean the total voting percentage which may be cast by the Physician Board Members on a collective basis, with the percentage of votes able to be cast by any Group or Other Practice, as applicable, shall be equal to the quotient determined by dividing (x) the total estimated annual professional revenues to be generated by the Group from such Managed Care Contract as determined by Administrator, Parent or their Affiliates, as appropriate, in its sole discretion, by (y) the total estimated annual professional revenues to be generated by the Group and all Other Practices from such Managed Care Contract as determined by the Administrator, Parent or their Affiliates, as appropriate, in its sole discretion.as

Provider and Payor Relationships. Administrator shall be responsibleprovide financial and business assistance to the Group in the negotiation, subject to appropriate consultations with Group from time to timeestablishment, for negotiating, establishing supervision and supervising all maintenance of contracts and relationships (collectively, the "Managed Care Contracts") with all managed care, institutional health care providers and payors, health maintenance organizations, preferred provider organizations, exclusive provider organizations, Medicare, Medicaid, insurance companies companies, hospitals and other similar persons or entities (collectively, "Managed Care Payors") related to the Professional Operations and the Technical Operations. Group shall maintain all existing Managed Care Contracts with Managed Care Payors, and any approval, disapproval, termination or amendment of any Managed Care Contract with any Managed Care Payor shall shall, after consultation with the Joint Planning Board, be the responsibility and obligation of the Joint Planning Board. The Joint Planning Board Group, and Group shall act in a manner that is in the best business interests of the Professional Operations and the Technical Operations. Administrator shall have the right and authority to submit an application to obtain IDTF status for any or all of the Premises, and the Group shall reasonably assist and cooperate with Administrator in the preparation and filing of any such applications as may be requested by Administrator from time to time. Notwithstanding the preceding language, if a contract or relationship between any Managed Care Payor and the Group involves or affects a contract or relationship with any other physician group or practice serviced or managed by Administrator, Parent or any of their Affiliates (the "Other Practices") and a consensus among the Group and the Other Practices cannot be reached regarding the contract or relationship, then the ultimate decision as to the approval, disapproval, termination or amendment of such contract or relationship involving the Group, the Other Practices and such Managed Care Payor shall be determined by the affirmative vote of the Physician Board Members (as defined below) who hold a majority of the Group Voting Power (as defined below). For purposes of this Section 3.7, (i) the term "Physician Board Members" shall mean (a) those members appointed by the Group who serve on the Joint Planning Board and (b) those persons appointed by the Other Practices who serve on the Other Practices' joint boards (in a similar capacity to the Joint Planning Board) as part of their contractual relationship with Parent, Administrator or any of their Affiliates, and (ii) the term "Group Voting Power" shall mean the total voting percentage which may be cast by the Physician Board Members on a collective basis, with the percentage of votes able to be cast by any Group or Other Practice, as applicable, shall be equal to the quotient determined by dividing (x) the total estimated annual professional revenues to be generated by the Group from such Managed Care Contract as determined by Administrator, Parent or their Affiliates, as appropriate, in its sole discretion, by (y) the total estimated annual professional revenues to be generated by the Group and all Other Practices from such Managed Care Contract as determined by the Administrator, Parent or their Affiliates, as appropriate, in its sole discretion.

Provider and Payor Relationships. Administrator shall be responsibleprovide financial and business assistance to the Group in the negotiation, subject to appropriate consultations with Group from time to timeestablishment, for negotiating, establishing supervision and supervising all maintenance of contracts and relationships (collectively, the "Managed Care Contracts") with all managed care, institutional health care providers and payors, health maintenance organizations, preferred provider organizations, exclusive provider organizations, Medicare, Medicaid, insurance companies companies, hospitals and other similar persons or entities (collectively, "Managed Care Payors") related to the Professional Operations and the Technical Operations). Group shall maintain all existing Managed Care Contracts with Managed Care Payors, and any approvalApproval, disapproval, termination or amendment of any contract or relationship of such Managed Care Contract Payors with any Managed Care Payor shall be the responsibility and obligation of Group shall, after consultation with the Joint Planning Board. The Joint Planning Board shall act in a manner that is in , be the best business interests responsibility of the Professional Operations and the Technical Operations. Administrator shall have the right and authority to submit an application to obtain IDTF status for any or all of the Premises, and the Group shall reasonably assist and cooperate with Administrator in the preparation and filing of any such applications as may be requested by Administrator from time to timeGroup. Notwithstanding the preceding language, if a contract or relationship between any Managed Care Payor and the Group involves or affects a contract or relationship with any other physician group or practice serviced or managed by Administrator, Parent or any of their Affiliates (the "Other Practices") and a consensus among the Group and the Other Practices cannot be reached regarding the contract or relationship, then the ultimate decision as to the approval, disapproval, termination or amendment of such contract or relationship involving the Group, the Other Practices and such Managed Care Payor shall be determined by the affirmative vote of the Physician Board Members (as defined below) who hold a majority of the Group Voting Power (as defined below). For purposes of this Section 3.7, (i) the term "Physician Board Members" shall mean (a) those members appointed by the Group who serve on the Joint Planning Board and (b) those persons appointed by the Other Practices who serve on the Other Practices' joint boards (in a similar capacity to the Joint Planning Board) as part of their contractual relationship with Parent, Administrator or any of their Affiliates, and (ii) the term "Group Voting Power" shall mean the total voting percentage which may be cast by the Physician Board Members on a collective basis, with the percentage of votes able to be cast by any Group or Other Practice, as applicable, shall be equal to the quotient determined by dividing (x) the total estimated annual professional revenues to be generated by the Group from such Managed Care Contract as determined by Administrator, Parent or their Affiliates, as appropriate, in its sole discretion, by (y) the total estimated annual professional revenues to be generated by the Group and all Other Practices from such Managed Care Contract as determined by the Administrator, Parent or their Affiliates, as appropriate, in its sole discretion.

Provider and Payor Relationships. Administrator shall be responsibleprovide financial and business assistance to the Group in the negotiation, subject to appropriate consultations with Group from time to timeestablishment, for negotiating, establishing supervision and supervising all maintenance of contracts and relationships (collectively, the "Managed Care Contracts") with all managed care, institutional health care providers and payors, health maintenance organizations, preferred provider organizations, exclusive provider organizations, Medicare, Medicaid, insurance companies and other similar persons or entities (collectively, "Managed Care Payors") related to the Professional Operations and the Technical Operations. Group shall maintain all existing Managed Care Contracts with Managed Care Payors, and any approval, disapproval, termination or amendment of any Managed Care Contract with any Managed Care Payor shall shall, after consultation with the Joint Planning Board, be the responsibility and obligation of the Joint Planning Board. The Joint Planning Board Group, and Group shall act in a manner that is in the best business interests of the Professional Operations and the Technical Operations. Administrator shall have the right and authority to submit an application to obtain IDTF status for any or all of the Premises, and the Group shall reasonably assist and cooperate with Administrator in the preparation and filing of any such applications as may be requested by Administrator from time to time. Notwithstanding the preceding language, if a contract or relationship between any Managed Care Payor and the Group involves or affects a contract or relationship with any other physician group or practice serviced or managed by Administrator, Parent or any of their Affiliates (the "Other Practices") and a consensus among the Group and the Other Practices cannot be reached regarding the contract or relationship, then the ultimate decision as to the approval, disapproval, termination or amendment of such contract or relationship involving the Group, the Other Practices and such Managed Care Payor shall be determined by the affirmative vote of the Physician Board Members (as defined below) who hold a majority of the Group Voting Power (as defined below). For purposes of this Section 3.7, (i) the term "Physician Board Members" shall mean (a) those members appointed by the Group who serve on the Joint Planning Board and (b) those persons appointed by the Other Practices who serve on the Other Practices' joint boards (in a similar capacity to the Joint Planning Board) as part of their contractual relationship with Parent, Administrator or any of their Affiliates, and (ii) the term "Group Voting Power" shall mean the total voting percentage which may be cast by the Physician Board Members on a collective basis, with the percentage of votes able to be cast by any Group or Other Practice, as applicable, shall be equal to the quotient determined by dividing (x) the total estimated annual professional revenues to be generated by the Group from such Managed Care Contract as determined by Administrator, Parent or their Affiliates, as appropriate, in its sole discretion, by (y) the total estimated annual professional revenues to be generated by the Group and all Other Practices from such Managed Care Contract as determined by the Administrator, Parent or their Affiliates, as appropriate, in its sole discretion.persons