Shared Savings or Shared Losses Payment Calculations. The Contractor shall pay the MCO-Administered ACO Shared Savings, or the MCO- Administered ACO shall pay the Contractor Shared Losses, for each Contract Year as follows: 1. If the difference when the MCO-Administered ACO’s TCOC Performance is subtracted from the MCO-Administered ACO’s Benchmark is equal to an amount greater than zero (0), such difference shall be the MCO-Administered ACO’s Savings. If such difference is equal to an amount less than zero (0), such difference shall be the MCO-Administered ACO’s Losses. If such difference equals zero (0) and MCO-Administered ACO’s TCOC Performance and TCOC Benchmark are equal to each other, the MCO-Administered ACO shall have neither Savings nor Losses for the Contract Year; and 2. If the MCO-Administered ACO has Savings, the Contractor shall pay the MCO- Administered ACO Shared Savings based on the MCO-Administered ACO’s Risk Track, as described in Section 1.3.D of this Appendix P, and based on the MCO-Administered ACO's Quality Score, as described in Section 1.3.
Appears in 2 contracts
Samples: Masshealth Managed Care Organization Contract, Masshealth Managed Care Organization Contract
Shared Savings or Shared Losses Payment Calculations. The Contractor shall pay the MCO-Administered ACO Shared Savings, or the MCO- Administered ACO shall pay the Contractor Shared Losses, for each Contract Year as follows:
1. If the difference when the MCO-Administered ACO’s TCOC Performance is subtracted from the MCO-Administered ACO’s Benchmark is equal to an amount greater than zero (0), such difference shall be the MCO-Administered ACO’s Savings. If such difference is equal to an amount less than zero (0), such difference shall be the MCO-Administered ACO’s Losses. If such difference equals zero (0) and MCO-Administered ACO’s TCOC Performance and TCOC Benchmark are equal to each other, the MCO-Administered ACO shall have neither Savings nor Losses for the Contract Year; and
2. If the MCO-Administered ACO has Savings, the Contractor shall pay the MCO- Administered ACO Shared Savings based on the MCO-Administered ACO’s Risk Track, as described in Section 1.3.D of this Appendix P, and based on the MCO-MCO- Administered ACO's Quality Score, as described in Section 1.3.
Appears in 2 contracts
Samples: Masshealth Managed Care Organization Contract, Masshealth Managed Care Organization Contract