Capitation Payment Mechanism definition

Capitation Payment Mechanism means a payment mechanism available for selection by the ACO for each Performance Year of the Agreement Performance Period as described in Section 8.01, under which CMS will make periodic payments to the ACO during the Performance Year. The Capitation Payment Mechanisms available for selection include PCC Payment and TCC Payment.
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Examples of Capitation Payment Mechanism in a sentence

  • If the ACO wishes to participate in PCC Payment for a Performance Year, it must select PCC Payment as the ACO’s Capitation Payment Mechanism as described in Section 8.01.

  • If CMS does not receive payment in full by the date the payment is due, CMS shall pursue payment under any debt collection tools available to it, including, but not limited to, demand on the financial guarantee required under Section 12.05; recoupment of payments otherwise owed to the ACO under the Agreement or any other CMS program or initiative including, but not limited to, withholding of monthly payments to the ACO under the ACO’s selected Capitation Payment Mechanism; and debt collection regulations.

  • If CMS rejects or later terminates the ACO’s Capitation Payment Mechanism for a Performance Year, CMS may take remedial action or terminate the Agreement or Agreement Performance Period pursuant to Article XVII.

  • The ACO may select only one Capitation Payment Mechanism for a Performance Year.

  • For each Performance Year, CMS shall pay the ACO in accordance with (1) the Capitation Payment Mechanism selected by the ACO as described in Section 8.01 and, if selected by the ACO as described in Section 8.01, the APO; (2) the Risk Sharing Option (Global or Professional) that the ACO selected as described in Article VIII; (3) Appendix B; (4) Article XI; and (5) this Article XII.

  • The ACO must select a Capitation Payment Mechanism for each Performance Year as described in Section 8.01.

  • If the ACO wishes to participate in TCC Payment for a Performance Year, it must select TCC Payment as the ACO’s Capitation Payment Mechanism as described in Section 8.01.

Related to Capitation Payment Mechanism

  • Alternative Payment Mechanism means, with respect to any securities or combination of securities (together in this definition, “such securities”), provisions in the related transaction documents requiring the Corporation to issue (or use commercially reasonable efforts to issue) one or more types of APM Qualifying Securities raising eligible proceeds at least equal to the deferred Distributions on such securities and apply the proceeds to pay unpaid Distributions on such securities, commencing on the earlier of (x) the first Distribution Date after commencement of a deferral period on which the Corporation pays current Distributions on such securities and (y) the fifth anniversary of the commencement of such deferral period, and that

  • Payment Method means a payment method that Stripe accepts as part of the Stripe Payments Services (e.g., a Visa credit card, Klarna).

  • Structured settlement payment rights means rights to receive periodic payments under a structured settlement, whether from the structured settlement obligor or the annuity issuer, where:

  • Individual Settlement Payment means the amount payable from the Net

  • Gross Settlement Amount means $633,000.00 which is the total amount Defendant agrees to pay under the Settlement except as provided in Paragraph 9 below. The Gross Settlement Amount will be used to pay Individual Class Payments, Individual PAGA Payments, the LWDA PAGA Payment, Class Counsel Fees, Class Counsel Expenses, Class Representative Service Payment and the Administrator’s Expenses.

  • Debit Payment means a particular transaction where a debit is made.

  • Settlement Method means, with respect to any conversion of Notes, Physical Settlement, Cash Settlement or Combination Settlement, as elected (or deemed to have been elected) by the Company.

  • Amortization Payment shall have the meaning set forth in Section 2(d).

  • Net Settlement Amount means the Gross Settlement Amount, less the following payments in the amounts approved by the Court: Individual PAGA Payments, the LWDA PAGA Payment, Class Representative Service Payment, Class Counsel Fees Payment, Class Counsel Litigation Expenses Payment, and the Administration Expenses Payment. The remainder is to be paid to Participating Class Members as Individual Class Payments.

  • Net Benefits Test means a calculation to determine whether the benefits of a reduction in price resulting from the dispatch of Economic Load Response exceeds the cost to other loads resulting from the billing unit effects of the load reduction, as specified in Operating Agreement, Schedule 1, section 3.3A.4 and the parallel provisions of Tariff, Attachment K-Appendix, section 3.3A.4. Net Cost of New Entry:

  • Physical Settlement Amount For any Settlement Date for which Physical Settlement is applicable, an amount in cash equal to the product of (a) the Forward Price in effect on the relevant Settlement Date multiplied by (b) the Settlement Shares for such Settlement Date.

  • Viatical settlement provider means a person, other than a viator, who enters into or effectuates a viatical settlement contract. Viatical settlement provider does not include:

  • prepayment meter means a meter that can be programmed to allow the flow of pre-purchased amounts of energy in an electrical circuit;

  • Capitation rate means the fee the department pays monthly to a participating health or dental plan for each enrollee for the provision of covered medical or dental services whether or not the enrollee received services during the month for which the fee is intended.

  • Payment Amount as defined in Section 3.5.

  • Credit Support Amount has the meaning specified in Paragraph 3.

  • Settlement Amount has the meaning specified in Section 14.02(a)(iv).

  • Distribution Payment Date has the meaning set forth in paragraph 2(b) of Annex I.