Managed Care Contracts definition

Managed Care Contracts shall have the meaning set forth in Section 3.7.

Managed Care Contracts shall have the meaning set forth in Section 5.1.

Managed Care Contracts means any HMO Plan or Health Insurance Contract purchased by a Contractholder pursuant to Article II below.

Examples of Managed Care Contracts in a sentence

• From time to time the Group, after consultation with the Joint Planning Board, will adopt and implement fee schedules for (i) non-prepaid patients which shall be reasonable in relation to fees generally being charged in the same or similar market areas and (ii) for all rebillings and recovery items on prepaid Managed Care Contracts which are authorized and permitted by such contracts.

• Practice also designates Business Manager as Practice's agent for the further purpose of giving and receiving notices required or permitted to be given and received under such Managed Care Contracts.

• Practice hereby constitutes and appoints Business Manager as Practice's agent for the purpose of negotiating and executing on behalf of Practice and its Physicians any Managed Care Contract approved by the Policy Board, as well as any modifications, extensions and renewals of such Managed Care Contracts.

• Business Manager may engage such consultants as Business Manager deems necessary and appropriate to pursue and negotiate Managed Care Contracts for Practice, and Practice authorizes Business Manager to negotiate, for approval by the Policy Board, agreements for Subcontractor Costs.

• Administrator shall provide financial and business assistance to the Group in the negotiation, establishment, supervision and maintenance of contracts and relationships (collectively, the "Managed Care Contracts") with all managed care, institutional health care providers and payors, health maintenance organizations, preferred provider organizations, exclusive provider organizations, Medicare, Medicaid, insurance companies, hospitals and other similar persons (collectively, "Managed Care Payors").

More Definitions of Managed Care Contracts

Managed Care Contracts means contracts and agreements for all healthcare services (e.g., inpatient, outpatient, physician, and laboratory services, etc.) provided by any or all individual components of SMMC to any payor, including but not limited to rates, definitions, terms, conditions, policies, and pricing methodologies (e.g., per diem, discount rate, or case rate, etc.) who sell any commercial, Medicare, and Medi-Cal healthcare plans of any kind or make any networks available to self-insured employers, union trusts, and/or state and local government entities. This term includes contracts and agreements negotiated with any independent physician associations, who in turn provide capitated services, under a limited or restricted Knox-Keane license from the Department of Managed Health Care, to any payor who sells any commercial, Medicare, and Medi-Cal healthcare plans of any kind or makes any networks available to self- insured employers, union trusts, and/or state and local government entities.

Managed Care Contracts has the meaning assigned thereto in Section 2.9.

Managed Care Contracts with all managed care, institutional health care providers and payors, health maintenance organizations, preferred provider organizations, exclusive provider organizations, Medicare, Medicaid, insurance companies, hospitals and other similar persons (collectively, "Managed Care Payors"). Approval, disapproval, termination or amendment of any contract or relationship of such Managed Care Payors with the Group shall, after consultation with the Joint Planning Board, be the responsibility of the Group. Notwithstanding the preceding language, if a contract or relationship between any Managed Care Payor and the Group involves or affects a contract or relationship with any other physician group or practice serviced or managed by Administrator, Parent or any of their Affiliates (the "Other Practices") and a consensus among the Group and the Other Practices cannot be reached regarding the contract or relationship, then the ultimate decision as to the approval, disapproval, termination or amendment of such contract or relationship involving the Group, the Other Practices and such Managed Care Payor shall be determined by the affirmative vote of the Physician Board Members (as defined below) who hold a majority of the Group Voting Power (as defined below). For purposes of this Section 3.7, (i) the term "Physician Board Members" shall mean (a) those members appointed by the Group who serve on the Joint Planning Board and (b) those persons appointed by the Other Practices who serve on the Other Practices' joint boards (in a similar capacity to the Joint Planning Board) as part of their contractual relationship with Parent, Administrator or any of their Affiliates, and (ii) the term "Group Voting Power" shall mean the total voting percentage which may be cast by the Physician Board Members on a collective basis, with the percentage of votes able to be cast by any Group or Other Practice, as applicable, shall be equal to the quotient determined by dividing (x) the total estimated annual professional revenues to be generated by the Group from such Managed Care Contract as determined by Administrator, Parent or their Affiliates, as appropriate, in its sole discretion, by (y) the total estimated annual professional revenues to be generated by the Group and all Other Practices from such Managed Care Contract as determined by the Administrator, Parent or their Affiliates, as appropriate, in its sole discretion.

Managed Care Contracts. Schedule 3.13 lists all contracts, arrangements or agreements with managed care or preferred provider entities. The Seller has not received any written notice of (i) a material dispute under any of its contracts, arrangements or agreements with managed care or preferred provider entities; (ii) the intent of any party to any such agreement to materially decrease the level of service subscribed for under any agreement or to substantially modify the terms of any such agreement; or (iii) the intent of any party to any such agreement to terminate such agreement, and, to the knowledge of the Seller, no such written notice has been threatened or is pending.

Managed Care Contracts means all contracts and relationships with Managed Care Payors.

Managed Care Contracts means the managed care contracts relating to the Lab, which are described in Schedule 5.

Managed Care Contracts means all of the Company’s contracts whether presently existing or hereafter executed between the Company and various health maintenance organizations, preferred provider organizations and other similar managed healthcare companies.