Shared Risk Pool Program Sample Clauses

Shared Risk Pool Program. Distribution of the Shared ------------------------- Risk Pool shall be made to Provider and the Medicare Risk Capitated Medical Group/IPA(s) based upon the measurement of actual hospital utilization as measured each contract year, and in accordance with the Shared Risk Pool Matrix contained in Exhibit 4 to this Addendum. For purposes of this measurement, "hospital days" shall include the following: all acute inpatient (in and out-of-area) days, all out-patient surgery days, all skilled nursing facility (SNF) days and any other subacute days. Each outpatient surgical episode shall count as one "hospital day", each SNF day as 0.25 day and other subacute days as 0.50 day. All days shall be counted in the month of a Beneficiary's discharge. Distribution of the Shared Risk Pool for each contract year shall occur within 120 days following the end of such contract year. Claims/utilization applicable to the year in question that are not received by Foundation within 90 days of the end of such year shall be carried forward into the utilization results for the subsequent year. The amount of the incentive to be paid is determined on the basis of experience for the entire contract year, including claims for out-of-plan services received within 90 days of the end of the contract year.
Sample 1
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Related to Shared Risk Pool Program

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  • Remittance Processing Services In order to provide a means of collection of the Receivables which will allow the Trustee to receive the proceeds of the Receivables and related security without AmeriCredit or its Affiliates having access to the funds, the parties hereto agree for the benefit of the Trustee that the processing services (the “Service(s)”) of Processor will be used for the collection and the deposit of remittances related to the Receivables and related security.

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  • Income Collection, Transaction Processing, Account Administration 0.25 of a basis point per annum on the average net assets of the Fund.

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