Managed Care Agreement definition

Managed Care Agreement means the amended and restated the managed care agreement, dated as of May 28, 2003 and as amended, supplemented or modified to and including the date hereof, entered into between the Borrower and Merck, provided that, in the event that such agreement is replaced to the extent permitted by clause (n)(i) of Article VII references herein to the "Managed Care Agreement" shall be deemed to refer to such replacement agreement or agreements.
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Managed Care Agreement means any contract with a third party payor, including, without limitation, employers, insurance companies and managed care companies, to provide health care services to patients.
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Managed Care Agreement means a written contract between a third-party Payer or purchaser of health care services and the MCO whereby the MCO agrees to provide a network of health care facilities and providers who have agreed to be bound by, and to provide managed health care services to Eligible Subscribers in accordance with, the terms of Managed Care Agreements.
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Examples of Managed Care Agreement in a sentence

  • Also set forth on Exhibit 3.10 are the rebate and/or discount terms with respect to each such Managed Care Agreement as of April 14, 2000.

  • Managed Care Agreement, dated January 1, 2004, by and between Aetna Health Inc., on behalf of itself and its affiliates, and Adventist Health System Sunbelt, Inc., as amended by the amendments thereto dated January 1, 2004, January 1, 2006, September 15, 2006, January 1, 2009, October 15, 2009, June 1, 2010, September 17, 2011, April 1, 2013, August 1, 2013, February 1, 2014, June 1, 2014, November 15, 2014, October 1, 2015, November 1, 2015, January 1, 2016, September 15, 2016 and April 1, 2017.

  • Copayment" means those charges required by a Managed Care Agreement which may be collected from an Eligible Subscriber as additional payment for Covered Services at the time medical services are rendered.

  • After receipt of such Managed Care Agreement the Hospital shall have thirty (30) days to complete and return the Opt Out Form to MCO in accordance with subsection 2.3(b), in order to opt out of the applicable Managed Care Agreement.

  • Notwithstanding anything in this contract to the contrary, Corporation shall not, in any event, be required to pay in any fiscal year of the Corporation any amounts under this contract-and similar provider contracts that, together with Corporation expenditures permitted under the Managed Care Agreement, would exceed the amounts the Corporation actually has received under the Managed Care Agreement for that fiscal year.

  • Hospital services, including those certain services performed by hospital based physicians which are included in the hospital rates, provided for members other than those that are enrolled with Provider's Primary care offices will be paid in accordance with the rates contained in the Managed Care Agreement between HMO and St. Peter's Medical Center.

  • Managed Care Agreement: Contracts between healthcare provider networks and the University whereby the healthcare provider network or University offers or directly administers one or more health benefit products or plans to the enrollees of such products or plans for the other.

  • Prior to reaching the enrollment of 5,000 Members through Provider's PCP's, compensation to members of the Provider's provider network shall be paid in accordance with the rates contained in: the Managed Care Agreement between HMO and St. Peter's Medical Center, the Primary Care Physician Agreement between HMO and the Provider's PCP's and the Specialist Care Agreement between the HMO and the Provider's specialist physicians (hereinafter collectively referred to as the "Fee for Service Agreements").

  • Also set forth on Exhibit 3.10 are the rebate and/or discount terms with respect to each such Managed Care Agreement as of April 10, 2000.

  • If the Contractor participates in Medi-Cal mental health programs as a Mental Health Plan, the Contractor shall comply with the requirements and provisions applicable to Medi-Cal Mental Health Managed Care contained or referenced in regulations, policies and statute, and Medi-Cal Mental Health Managed Care Agreement.


More Definitions of Managed Care Agreement

Managed Care Agreement means a Managed Care Agreement between Novant and the Company and/or the Subsidiaries, to be entered into by the parties thereto at Closing, in a form mutually agreed upon by the parties thereto.
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Managed Care Agreement in this Section means the proposed Agreement for Managed Health Care Services for 1999, as it may be amended or supplemented in the future. The parties further acknowledge that, as of the date of this Contract, the Managed Care Agreement for 1999 has not been entered into and, as proposed, would not extend past September 30, 1999.
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Related to Managed Care Agreement

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

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

  • Managed care entity means either a managed care organization licensed by the department of insurance (e.g., HMO or PHP) or a primary care case management program (i.e., MediPASS).

  • Medicaid Provider Agreement means an agreement entered into between a state agency or other such entity administering the Medicaid program and a health care provider or supplier under which the health care provider or supplier agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.

  • 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.