Quality Programs. Claims incurred by Enrollees include amounts that BCN reimburses health care providers, including reimbursement tied to value in accordance with “Quality Programs,” which are governed by separate agreements with health care providers and are designed to improve health care outcomes and control health care costs. BCN has adopted a provider payment model that includes both fee-based and value-based reimbursement. BCN does not unbundle claims and does not retain any component of claims as compensation.
Appears in 12 contracts
Samples: New Business Check List, New Business Check List, New Business Check List
Quality Programs. Claims incurred by Enrollees include amounts that BCN BCBSM reimburses health care providers, including reimbursement tied to value in accordance with “Quality Programs,” which are governed by separate agreements with health care providers and are designed to improve health care outcomes and control health care costs. BCN BCBSM has adopted a provider payment model that includes both fee-based and value-based reimbursement. BCN BCBSM does not unbundle claims and does not retain any component of claims as compensation.. Terms and Conditions - con't -
Appears in 3 contracts
Samples: Large Group Enrollment and Coverage Agreement, Group Enrollment and Coverage Agreement, Large Group Enrollment and Coverage Agreement
