Coordinated Care Reward definition

Coordinated Care Reward means payment from CMS to a Beneficiary to reward the Beneficiary for receiving qualifying services from Next Generation Participants and Preferred Providers in an ACO when the Beneficiary was a Next Generation Beneficiary aligned to that ACO.
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Examples of Coordinated Care Reward in a sentence

  • Did You Get Your Annual Wellness Visit Yet?Because you are a member of the Henry Ford Accountable Care Organization (HFACO), you can receive a $25 check as a as a Coordinated Care Reward from Medicare.

  • Starting in PY2 and continuing through PY3, beneficiaries were eligible to receive a $25 Coordinated Care Reward (CCR) if they visited an NGACO provider for their annual wellness visit (AWV).

  • Next Generation ACO Model Coordinated Care Reward for Annual Wellness Visits Frequently Asked Questions.

  • Triad HealthCare Network shall not, and shall ensure that its Next Generation Participants, Preferred Providers, and any other individuals or entities performing services related to THN activities do not, provide gifts or other remuneration to Next Generation Beneficiaries as inducements for receiving the Coordinated Care Reward or to influence a Next Generation Beneficiary’s decision to qualify for the Coordinated Care Reward.

  • Trinity Health ACO and its Chapters, Participants, Preferred Providers and any other individuals or entities performing services related to Trinity Health ACO activities are prohibited from providing gifts or other payments to Beneficiaries as inducements for receiving the Coordinated Care Reward or to influence a Next Generation Beneficiary's decision to qualify for the Coordinated Care Reward.

  • Each Performance Year CMS may elect to provide a Coordinated Care Reward (CCR) to Beneficiaries if certain conditions are met.

  • In any Performance Year in which CMS elects to make Coordinated Care Reward payments, THN and its Next Generation Participants and Preferred Providers may communicate in writing with Next Generation Beneficiaries regarding the coordinated care reward.

  • Any communication with Beneficiaries regarding the Coordinated Care Reward must clearly convey that CMS is solely responsible for the terms and payment of the reward and the reward does not limit the Beneficiaries' freedom of choice of Medicare providers and suppliers.

  • Reward Payment CMS may make direct Coordinated Care Reward payments directly to eligible Beneficiaries and Next Generation Beneficiaries.

  • Trinity Health ACO and its Chapters, Participants and Preferred Providers will provide an accurate and current list of Participants and Preferred Providers upon any Beneficiary's inquiry about the Coordinated Care Reward.

Related to Coordinated Care Reward

  • Child Care Program means a person or business that offers child care.

  • Training program means a standardized medication

  • Medical evaluation means the process of assessing an individual's health status that includes a medical history and a physical examination of an individual conducted by a licensed medical practitioner operating within the scope of his license.

  • Clinical peer means a physician or other health care professional who holds a non-restricted license in a state of the United States and in the same or similar specialty as typically manages the medical condition, procedure or treatment under review.

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Dependent care assistance program means a benefit plan

  • Child care services means the range of activities and programs provided by a certificate holder to an enrolled child, including personal care, supervision, education, guidance, and transportation.

  • Designated caregiver has the meaning as set out in the Code. Disciplinary Action includes termination of this Agreement and suspension, expulsion and exclusion of the Student as those terms are defined in the Act. Fee means fees payable by the Parents to the School as per the Fee Schedule. Fee Schedule means the schedule of fees for Tuition, Accommodation and miscellaneous charges, which is available from the School on request and may be updated from time to time. Homestay has the meaning as set out in the Code.

  • Medical personnel means those persons assigned, by a Party to the conflict, exclusively to the medical purposes enumerated under subparagraph (e) or to the administration of medical units or to the operation or administration of medical transports. Such assignments may be either permanent or temporary. The term includes:

  • SBE Program Coordinator means the individual appointed, from time to time, by the City’s Community and Economic Development Director to administer the SBE Regulations.

  • PREVENTIVE CARE SERVICES means covered healthcare services performed to prevent the occurrence of disease as defined by the Affordable Care Act (ACA). See Preventive Care and Early Detection Services in Section 3. PRIMARY CARE PROVIDER (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.

  • Training means instruction or teaching designed to impart a specific skill, as opposed to general knowledge.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Clinical evaluation means a systematic and planned process to continuously generate, collect, analyse and assess the clinical data pertaining to a device in order to verify the safety and performance, including clinical benefits, of the device when used as intended by the manufacturer;

  • New jobs training program or “program” means the project or projects established by a community college for the creation of jobs by providing education and training of workers for new jobs for new or expanding industry in the merged area served by the community college. The proceeds of the certificates, as authorized by the Act, shall be used only to fund program services related to training programs made necessary by the creation of new jobs.

  • Routine patient care costs means Covered Medical Expenses which are typically provided absent a clinical trial and not otherwise excluded under the Policy. Routine patient care costs do not include:

  • Project Management Plan means the management plan that (i) sets out a high level workplan to describe the manner in which the Design-Builder will manage the Project, including to address related matters such as traffic management and communications, and (ii) is prepared by or for the Design-Builder and submitted to the Owner;

  • Finished Services means complete end-to-end services offered by CenturyLink to wholesale customers or retail End User Customers. Finished Services do not include Unbundled Network Elements or combinations of Unbundled Network Elements. Finished Services include Access Services, private lines, retail services, and resold services.

  • Personnel means persons hired by the Consultant or by any Subconsultant as employees and assigned to the performance of the Services or any part thereof;

  • Primary care physician means a physician who is a family

  • Pharmacy services means the practice of pharmacy as defined in chapter 18.64 RCW and includes any drugs or devices as defined in chapter 18.64 RCW.

  • Child welfare services means social services including

  • Program coordinator means a registered nurse responsible for administrative aspects of a state-approved nurse aide training course.

  • Coordinator means the person designated by Canada to act as the Dispute Resolution Coordinator.

  • Managed Care Program means the process that determines Medical Necessity and directs care to the most appropriate setting to provide quality care in a cost-effective manner, including Prior Authorization of certain services.

  • Team means a team affiliated to a Club, including where a Club provides more than one team in the Competition in accordance with the Rules.