Value Based Reimbursement and Adherence to Clinical Guidelines. If not already in place, by January 1, 2016, Contractor agrees to develop and/or implement alternative reimbursement methodologies promote adherence to clinical guidelines. Methodologies will target the highest frequency conditions and procedures as mutually agreed upon by the Exchange and Contractor.
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Samples: Qualified Health Plan Contract, Qualified Health Plan Contract, Qualified Health Plan Contract
Value Based Reimbursement and Adherence to Clinical Guidelines. If not already in place, by January 1, 2016, Contractor agrees to develop and/or implement alternative reimbursement methodologies promote adherence to clinical guidelines. Methodologies will target the highest frequency conditions and procedures as mutually agreed upon by the Exchange and Contractor.. When considering the implementation of value based reimbursement programs, , Contractor shall demonstrate and design approaches to payment that reduce waste and inappropriate care, while not diminishing quality..
Appears in 1 contract
Samples: Qualified Health Plan Contract
Value Based Reimbursement and Adherence to Clinical Guidelines. If not already in place, by January 1, 2016, Contractor agrees to develop and/or implement alternative reimbursement methodologies promote adherence to clinical guidelines. Methodologies will target the highest frequency conditions and procedures as mutually agreed upon by the Exchange and Contractor. When considering the implementation of value based reimbursement programs, Contractor shall demonstrate and design approaches to payment that reduce waste and inappropriate care, while not diminishing quality.
Appears in 1 contract
Samples: Stand Alone Dental Plan Contract
Value Based Reimbursement and Adherence to Clinical Guidelines. If not already in place, by January 1, 2016, Contractor agrees to develop and/or implement alternative reimbursement methodologies to promote adherence to clinical guidelines. Methodologies will target the highest frequency conditions and procedures as mutually agreed upon by the Exchange and Contractor.
Appears in 1 contract
Samples: Qualified Health Plan Contract
Value Based Reimbursement and Adherence to Clinical Guidelines. If not already in place, by January 1, 2016, Contractor agrees to develop and/or and implement alternative reimbursement methodologies promote focusing on the adherence to clinical guidelines. Methodologies will target the highest frequency conditions and procedures as mutually agreed including but not limited to diabetes, asthma, heart disease, hypertension and pregnancy. The Exchange reserves the right to add alternative diagnosis and/or conditions upon by the Exchange and reasonable notice to Contractor.
Appears in 1 contract
Samples: Qualified Health Plan Contract