Stop Loss Program. (1) For the Stop Loss Program Charges set forth in Part D below, Blue Shield shall reimburse Group for eighty percent (80%) of that portion of the Allowable Costs (as described herein) of Capitated Professional Services provided during any one (1) Agreement Year to any one (1) Member which exceeds the Attachment Level and which are Group’s financial responsibility under the Agreement.
Appears in 3 contracts
Samples: Shared Savings Provider Agreement (Prospect Medical Holdings Inc), Savings Provider Agreement (Prospect Medical Holdings Inc), Agreement (Prospect Medical Holdings Inc)
Stop Loss Program. (1) For the Stop Loss Program Charges set forth in Part D below, Blue Shield shall reimburse Group for eighty percent (80%) of *** that portion of the Allowable Costs (as described herein) of Capitated Professional Services provided during any one (1) Agreement Year to any one (1) Member which exceeds the Attachment Level and which are Group’s financial responsibility under the Agreement.
Appears in 1 contract
Stop Loss Program. (1) For the Stop Loss Program Charges set forth in Part D below, Blue Shield shall reimburse Group for eighty percent (80%) *** of that portion of the Allowable Costs (as described herein) of Capitated Professional Services provided during any one (1) Agreement Year to any one (1) Member which exceeds the Attachment Level and which are Group’s financial responsibility under the Agreement.
Appears in 1 contract
Samples: Shared Savings Provider Agreement (Prospect Medical Holdings Inc)
