Examples of Incentive Arrangements in a sentence
I.2. Data 2 I.3. Projected Benefit Costs and Trends 2 I.4. Special Contract Provisions Related to Payment 2 I.4.A. Incentive Arrangements 2 I.4.B. Withhold Arrangements 2 I.4.C. Risk-Sharing Mechanisms 2 I.4.D. Delivery System and Provider Payment Initiatives 2 I.4.D.i. Rate Development Standards 2 I.4.D.ii.
Health Advantage may also offer physicians financial incentives to encourage them to provide education to Members on the costs of Prescription Medications, and, where appropriate in the physician’s independent medical judgment, to write prescriptions for Prescription Medications listed as “Second Tier” on the Health Advantage Formulary, or to write prescriptions for Generic Medications listed as “First Tier” on the Health Advantage Formulary.8.3 Incentive Arrangements Subject to Change.
Practice and its Participating Physicians shall not be eligible for any payments under Incentive Arrangements unless this Agreement was in effect through the end of the applicable contract year of the Payor Contract.
Under these Incentive Arrangements, HMHP Providers shall not be guaranteed payments, but also shall not be required to make any payments in the event quality, utilization or cost metrics are not achieved.
The Practice and Participating Physicians understand that such Incentive Arrangements are intended to encourage Practice and the Participating Physicians to adhere to HMHP’s quality improvement and utilization management programs.