Common use of PROVIDER INCENTIVE PAYMENTS Clause in Contracts

PROVIDER INCENTIVE PAYMENTS. Incentive payments to Affiliated Providers paid within six (6) months after the end of the Coverage Year for performance measured during the Coverage Year provided the payments are made pursuant to agreements in place at the start of the measurement period under which the benchmarks triggering payments and the methodology for determining payments amounts are clearly set forth shall be included in Benefit Expense. Litigation reserves and payments in settlement of claims disputes, excluding legal fees, shall be included in Benefit Expense. Such amounts shall be recorded by Contractor for the Coverage Year.

PROVIDER INCENTIVE PAYMENTS. Incentive payments to Affiliated Providers paid within six (6) months after the end of the Coverage Year for performance measured during the Coverage Year provided the payments are made pursuant to agreements in place at the start of the measurement period under which the benchmarks triggering payments and the methodology for determining payments amounts are clearly set forth shall be included in Benefit Expense. Litigation reserves and payments in settlement of claims disputes, excluding legal fees, shall be included in Benefit Expense. Such amounts shall be recorded by Contractor for the Coverage Year.set