Common Contracts
2 similar Model Agreement contracts
Draft Vermont All-Payer Accountable Care Organization Model Agreement SUMMARYModel Agreement • September 28th, 2016
determining performance under this Agreement, including the formulas and adjustments. Lastly, this section sets out the process for making changes to the Agreement through a corrective action plan if Vermont is not meeting the targets. 7 — Vermont Medicare ACO Initiative Under this Agreement, CMS and Vermont will design and launch a state- specific ACO Initiative on January 1, 2019. Prior to that date, CMS and Vermont will offer Modified Next Generation models under Medicare. This section outlines CMS’ duties and the duties of the GMCB in setting aprospective growth rate. 8 — Payer Differential This section provides a hold harmless provision for Vermont, if the state chooses to increase Medicaid reimbursement rates to health care providers by excluding these rate increases from the growth target. This section also ensures that Medicaid beneficiaries receive the same access to services under an ACO as other beneficiaries. 9 — One Time Funding This section and Appendix 2 provide for $9
Draft Vermont All-Payer Accountable Care Organization Model Agreement SUMMARYModel Agreement • September 28th, 2016
determining performance under this Agreement, including the formulas and adjustments. Lastly, this section sets out the process for making changes to the Agreement through a corrective action plan if Vermont is not meeting the targets. 7 — Vermont Medicare ACO Initiative Under this Agreement, CMS and Vermont will design and launch a state- specific ACO Initiative on January 1, 2019. Prior to that date, CMS and Vermont will offer Modified Next Generation models under Medicare. This section outlines CMS’ duties and the duties of the GMCB in setting aprospective growth rate. 8 — Payer Differential This section provides a hold harmless provision for Vermont, if the state chooses to increase Medicaid reimbursement rates to health care providers by excluding these rate increases from the growth target. This section also ensures that Medicaid beneficiaries receive the same access to services under an ACO as other beneficiaries. 9 — One Time Funding This section and Appendix 2 provide for $9
