Common use of Shared Risk Budget Clause in Contracts

Shared Risk Budget. As a contingency for any PPG liability under the Shared Risk Program. HMO shall deduct five percent (5%) of PPG’s Capitation and place such amount in the Withhold Fund as described in this Agreement. In the event the interim settlement results in a deficit, HMO may, at its sole discretion, withhold from PPG’s Capitation up to *** of PPG’s Capitation and may continue such withhold until the deficit amount is recovered. Each month, HMO shall fund the Shared Risk Budget for each eligible Medicare HMO Member at *** of CMS Premium

Appears in 1 contract

Samples: Participating Provider Services Agreement (Prospect Medical Holdings Inc)

AutoNDA by SimpleDocs

Shared Risk Budget. As a contingency for any PPG liability under the Shared Risk Program. , HMO shall deduct five percent (5%) 0.0% of PPG’s Capitation and place such amount in the Withhold Fund as described in this Agreement. In the event the interim settlement results in a deficit, HMO may, at its sole discretion, withhold from PPG’s Capitation up to *** of PPG’s Capitation and may continue such withhold until the deficit amount is recovered. Each month, HMO shall fund the Shared Risk Budget for each eligible Medicare HMO Member at *** 40.5% of CMS PremiumMonthly Revenue.

Appears in 1 contract

Samples: Provider Services Agreement (Prospect Medical Holdings Inc)

Shared Risk Budget. As a contingency for any PPG liability under the Shared Risk Program. , HMO shall deduct five percent (5%) up to *** of PPG’s Capitation and place such amount in the Withhold Fund as described in this Agreement. In the event the interim settlement results in a deficit, HMO may, at its sole discretion, withhold from PPG’s Capitation up to *** of PPG’s Capitation and may continue such withhold until the deficit amount is recovered. Each month, HMO shall fund the Shared Risk Budget for each eligible Medicare HMO Member at *** of CMS PremiumMonthly Revenue.

Appears in 1 contract

Samples: Provider Services Agreement (Prospect Medical Holdings Inc)

AutoNDA by SimpleDocs

Shared Risk Budget. As a contingency for any PPG liability under the Shared Risk Program. HMO shall deduct five four percent (54%) of PPG’s Capitation and place such amount in the Withhold Fund as described in this the Agreement. In the event the interim settlement results in a deficit, HMO may, at its sole discretion, withhold from PPG’s Capitation up to *** of PPG’s Capitation and may continue such withhold until the deficit amount is recovered. Each month, HMO shall fund the Shared Risk Budget for each eligible Medicare HMO Member at *** forty-seven percent (47%) of CMS PremiumMonthly Revenue.

Appears in 1 contract

Samples: Participating Physician Group Agreement (Prospect Medical Holdings Inc)

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