Quality Network Management and Delivery System Standards. 4.01 Certified SADPs The parties acknowledge and agree that furthering the goals of the Exchange require Contractor to work with the other SADPs and its contracted providers to play an active role in building and supporting models of care to meet consumer and social needs for providing better care, promoting health and lowering per capita costs through improvement. Contractor agrees to work with the Exchange to develop or participate in initiatives to promote models of care that (i) target excessive costs,
Quality Network Management and Delivery System Standards. 4.01 Certified QDPs The parties acknowledge and agree that furthering the goals of the Exchange require Contractor to work with the other QDPs and its contracted providers to play an active role in building and supporting models of care to meet consumer and social needs for providing better care, promoting health and lowering per capita costs through improvement. Contractor agrees to work with the Exchange to develop or participate in initiatives to promote models of care that (i) target excessive costs, (ii) minimize unpredictable quality, (iii) reduce inefficiencies of the current system, and
Quality Network Management and Delivery System Standards. 52 4.1 Covered California Quality Initiatives 52 4.2 Quality Management Program 52 4.3 Utilization Management 53 4.4 Transparency and Quality Reporting 53 4.5 Dental Utilization Reporting 53 4.6 Data Submission Requirements 54 ARTICLE 5 – FINANCIAL PROVISIONS 55 5.1 Covered California for the Individual Market 55 Covered California – 2017 - 2022 2023 QDP Issuer Contract ii 5.2 Covered California for Small Business 58
Quality Network Management and Delivery System Standards
