Risk-Based Contracts Sample Clauses

Risk-Based Contracts. For each risk-based contract that the -------------------- Medical Group enters into directly with a payor, the Medical Group shall pay to the Management Company an amount (the "Managed Care Payment") equal to the amount received by the Medical Group from the payor pursuant to such contract. The Management Company shall reimburse the Medical Group the Managed Care Payment less a percentage of the savings recognized by the Medical Group from the administration of such contract which percentage will be mutually agreed upon by the parties on a contract-by-contract basis. Upon the request of the Medical Group, the parties shall meet and mutually agree upon additional security to be provided by the Management Company to the Medical Group to secure the Management Company's reimbursement obligations to the Medical Group in connection with a risk-based contract entered into by the Medical Group. ------------ * Omitted pursuant to Rule 406 promulgated under the Securities Act of 1933, as amended.

Risk-Based Contracts. (i) With respect to any Managed Care Contract to which a Hospital Party is a party during the Covered Period which includes the Hospital Party's agreement to provide "ESRD Care" (as defined below) to patients of the Hospital Party on a capitated or at-risk basis, (A) the Hospital Party shall, during the Covered Period, engage Buyer (subject to Buyer or its applicable facilities meeting applicable credentialing requirements) to provide such ESRD Care, and (B) if so engaged, Buyer shall, during the Covered Period, provide such ESRD Care on a case rate basis to those patients covered by any such Managed Care Contract who are actually diagnosed with ESRD, with a case rate for such ESRD Care as may be agreed upon between Buyer and the Hospital Party or, failing such agreement within 30 days after the effective date of any such Managed Care Contract, at a case rate applicable to such services as determined by an independent actuary mutually agreeable to each such party by using such actuary's expected cost of ESRD Care, on a per case basis, for the persons entitled to benefits under the Managed Care Contract. (ii) With respect to any ESRD Care actually provided by Buyer under the foregoing provisions, Buyer agrees to engage the Hospital Owner affiliated with the contracting Hospital Party for the provision of hospital in-patient services within the scope of such ESRD Case, provided that the Hospital Party's charges for such services and standard of care are competitive within the market area.