Common use of Quality Improvement and Utilization Management Activities Clause in Contracts

Quality Improvement and Utilization Management Activities. As a Clinically Integrated Network, HMHP shall administer quality improvement and utilization management activities, including, but not limited to, development and implementation of Policies and Procedures and monitoring Practice’s and Participating Providers’ compliance. The Parties acknowledge and agree that such activities will cover only Enrollees covered by Payor Contracts and that HMHP will use clinical data relating solely to Enrollees covered by Payor Contracts for this purpose.

Appears in 9 contracts

Samples: Participating Physician Practice Agreement, Participating Physician Practice Agreement, Participating Physician Practice Agreement

AutoNDA by SimpleDocs
Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!