MCP Hospital Incentive definition

MCP Hospital Incentive. A total of $162 million was added to CFC and ABD non-delivery rate cells, before fees and taxes, for the MCP Hospital Incentive payment. This amount was allocated based on total projected inpatient claims by region and rate cell.
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MCP Hospital Incentive. The total computable funding for the MCP Hospital Incentive program is appropriated by Ohio’s General Assembly from the State’s General Revenue Fund. For January through June 2022, the amount is assumed to be $81 million, excluding additional taxes and fees that are applied to the appropriation amount. HUB Contracting Requirements: Consistent with the Original certification, we included care management amounts under the DKP in six regions to account for the HUB contracting requirements. STATE TAXES AND FEES
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MCP Hospital Incentive. A total of $162 million was added to CFC and ABD non-delivery rate cells, before fees and taxes, for the MCP Hospital Incentive payment. This amount was allocated based on total projected inpatient claims by region and rate cell.  HUB Contracting Requirements: In the July 2017 Medicaid Managed Care Capitation Rate Amendment, we included care management amounts under the DKP in four regions to account for the Pathways Community HUB (HUB) contracting requirements. Care management to account for HUB contracting requirements is 2.5% of the delivery kick payment, consistent with the July 2017 rate amendment. Fees and Taxes are loaded to the capitation rates after the application of non-benefit expenses. This includes the Health Insuring Corporation (HIC) Franchise Fee along with the HIC tax. The HIC Franchise Fee consists of a PMPM amount that varies based on an entity’s Medicaid member months. The development of the actuarially sound capitation rates includes HIC Franchise Fee (collected by ODM) and HIC tax (collected by the Ohio Department of Insurance) components. HIC Franchise Fee amounts were developed by MCP based on projected Medicaid member months for January through June 2018, and then weighted based on regional enrollment by MCP. As the HIC Franchise Fee is assessed on a state fiscal year basis, we anticipate amending the CY 2018 capitation rates to reflect HIC Franchise Fee amounts applicable to July through December 2018. The HIC tax will remain at 1% of the total capitation rate.
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Examples of MCP Hospital Incentive in a sentence

  • The MCP Hospital Incentive program was developed to incentivize hospitals to contract with the MCPs, as the State’s approved hospital supplemental upper payment limit program appeared to be creating an incentive for hospitals to want their payments delivered under the FFS program.

  • The enhanced maternal program and MCP Hospital Incentive payments were allocated by region and rate cell on a PMPM basis.

  • This amendment also includes updated PMPM amounts for the MCP Hospital Incentive, Enhanced Maternal Program, and the Hospital Additional Payment directed payment arrangement.

  • Non-benefit expenses are applied to projected benefit expenses prior to the application of the Enhanced Maternal Program, MCP Hospital Incentive Program, CICIP Program, HIC Franchise Fee, and HIC Tax amounts.

  • Relative to the Original certification, we updated the per member per month (PMPM) add-on amounts attributable to the Enhanced Maternal Program and MCP Hospital Incentive after consideration of increases in enrollment projected to occur during CY 2020.

  • This amendment also includes updated PMPM amounts for the MCP Hospital Incentive and Enhanced Maternal Program as well as additional documentation for a new hospital directed payment arrangement.


More Definitions of MCP Hospital Incentive

MCP Hospital Incentive. The total computable funding for the MCP Hospital Incentive program is appropriated by Ohio’s General Assembly from the State’s General Revenue Fund. For CY 2021, the amount is assumed to be $162 million, excluding additional taxes and fees that are applied to the appropriation amount. Based on changes from the Original certification with regard to projected enrollment in CY 2021, we calculated revised PMPM amounts for January through December 2021 such that composite projected payments would continue to equal $162 million. HUB Contracting Requirements: Consistent with the Original certification, we included care management amounts under the DKP in six regions to account for the HUB contracting requirements. STATE TAXES AND FEES
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MCP Hospital Incentive. No changes have been made to the hospital incentive program from the amounts included in the Original certification.
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MCP Hospital Incentive. A total of $162 million was added to CFC and ABD non-delivery rates cells, before fees and taxes, for the MCP Hospital Incentive payment. This amount was allocated based on total projected inpatient claims by region and rate cell. The MCP Hospital Incentive program is a pass-through payment and is described fully in Section 4 of this report. These additional above items were allocated on a PMPM basis. This includes Sales and Use tax along with the Health Insuring Corporation (HIC) tax. The State of Ohio is subject to a Sales and Use tax that varies by county. We sourced the tax rates by county from the State of Ohio website12 and weighted the county-level tax amounts by calendar year 2014 enrollment by county. A composite Sales and Use tax was then aggregated from the county estimates and applied as a percentage of the total capitation rate for each region.
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MCP Hospital Incentive. A total of $162 million was added to CFC and ABD non-delivery rates cells, before fees and taxes, for the MCP Hospital Incentive payment. This amount was allocated based on total projected inpatient claims by region and rate cell. These additional above items were allocated on a PMPM basis. Fees and Taxes are loaded to the capitation rates after the application non-benefit expenses. This includes Sales and Use tax along with the Health Insuring Corporation (HIC) tax. The State of Ohio is subject to a Sales and Use tax that varies by county. We sourced the tax rates by county from the State of Ohio website10 and weighted the county-level tax amounts by CY 2015 enrollment by county for each rate 10 Please see xxxx://xxx.xxx.xxxx.xxx/sales_and_use.aspx for additional information. cell. Sales and Use tax amounts were composited at the rate cell and region level from the county estimates and applied as a percentage of the total capitation rate for each rate cell and region combination. Developing Sales and Use tax amounts through the use of membership versus capitation rate weighting produces equivalent results when the fees are calculated and applied at the region and rate cell level.
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Related to MCP Hospital Incentive

  • Company Incentive Plan shall have the meaning assigned to it in Section 1.7 hereof.

  • Annual Incentive Plan means the Cinergy Corp. Annual Incentive Plan or any similar plan or successor to the Annual Incentive Plan.

  • Management Incentive Plan means the Company’s bonus program, as implemented by the Company’s board of directors from time to time and pursuant to which the Executive may receive incentive-based compensation at fiscal year end.

  • Long-Term Incentive Award means an Award described in Section 6(g) hereof that is based upon a period in excess of one year.

  • Incentive Compensation Plan means any plan, agreement or other arrangement that provides for the grant or issuance of equity or equity-based awards and that is now in effect or is hereafter adopted by the Company or the Manager for the benefit of any of their respective employees or other service providers (including directors, advisers and consultants), or the employees or other services providers (including directors, advisers and consultants) of any of their respective Affiliates or Subsidiaries.

  • Incentive means a term or condition whose purpose is to motivate the Contractor to provide supplies or services at lower costs, and in certain instances with improved delivery or technical performance, by relating the amount of profit or fee earned to the Contractor’s performance.

  • Long-Term Incentive Plan or “LTIP” means a plan providing compensation intended to motivate performance over a period greater than one financial year. LTIPs do not include option or SAR plans or plans for compensation through shares or units that are subject to restrictions on resale;

  • Incentive Compensation means any compensation that is granted, earned or vested based wholly or in part upon the attainment of a Financial Reporting Measure.

  • STIP means the Company’s short-term incentive plan under Section 8 of the Company’s 2007 Omnibus Incentive Plan, effective May 8, 2007, as may be amended from time to time, or any successor plan, program or arrangement thereto.

  • Pharmacy benefits management means the administration or management of prescription drug

  • Incentive Compensation Plans means annual incentive compensation plans and long‑term incentive compensation plans of the Company, which long‑term incentive compensation plans may include plans offering stock options, restricted stock and other long‑term incentive compensation.

  • Incentive Management Fee shall have the meaning set forth in Section 9.2(e) hereof.

  • Incentive Plan means any plan providing compensation that depends on achieving certain performance goals or similar conditions within a specified period;

  • Average Incentive Compensation means the average of the annual incentive compensation under Subparagraph 3(a) received by Executive for the three (3) immediately preceding fiscal years or such fewer number of complete fiscal years as Executive may have been employed by the Company. In no event shall “Average Incentive Compensation” include any sign-on bonus, retention bonus or any other special bonus. Notwithstanding the foregoing, if the Executive breaches any of the provisions contained in Paragraphs 4 and 5 of this Agreement, all payments of the Severance Amount shall immediately cease. Notwithstanding the foregoing, in the event Executive terminates his employment for Good Reason as provided in Subparagraph 6(e), he shall be entitled to the Severance Amount only if he provides the Notice of Termination provided for in Subparagraph 6(f) within thirty (30) days after the occurrence of the event or events which constitute such Good Reason as specified in clauses (A), (B), (C), (D), (E) and (F) of Subparagraph 6(e);

  • Annual Incentive Award means an Award made subject to attainment of performance goals (as described in Section 14) over a performance period of up to one year (the Company’s fiscal year, unless otherwise specified by the Committee).

  • AIP means the Nucor Corporation Senior Officers Annual Incentive Plan and any successor plan.

  • Clawback Eligible Incentive Compensation means all Incentive-based Compensation Received by an Executive Officer (i) on or after the effective date of the applicable Nasdaq rules, (ii) after beginning service as an Executive Officer, (iii) who served as an Executive Officer at any time during the applicable performance period relating to any Incentive-based Compensation (whether or not such Executive Officer is serving at the time the Erroneously Awarded Compensation is required to be repaid to the Company), (iv) while the Company has a class of securities listed on a national securities exchange or a national securities association, and (v) during the applicable Clawback Period (as defined below).

  • Equity Incentive Plan means an incentive plan, or portion of an incentive plan, under which awards are granted and that falls within the scope of IFRS 2 Share-based Payment;

  • Company Equity Incentive Plan means the Company’s omnibus equity plan, last approved by Company Shareholders on November 6, 2018 and as proposed to be amended at the Company’s May 7, 2019 shareholders’ meeting.

  • Incentive Pay means an annual amount equal to the aggregate annual bonus, in addition to Base Pay, made or to be made in regard to services rendered in any calendar year or performance period pursuant to any bonus plan of the Company.

  • Termination Compensation means a monthly cash amount equal to one-twelfth ( 1/12th) of the highest amount of the annual cash compensation (including cash bonuses and other cash-based compensation, including for these purposes amounts earned or payable whether or not deferred) received by Executive during any one of the three (3) calendar years immediately preceding the calendar year in which Executive’s Termination Date occurs; provided, that if the cash compensation received by Executive during the Termination Year exceeds the highest amount of the annual cash compensation received by Executive during any one of the immediately preceding three (3) consecutive calendar years, the cash compensation received by Executive during the Termination Year shall be deemed to be Executive’s highest amount of annual cash compensation. In no event shall Executive’s Termination Compensation include equity-based compensation (e.g., income realized as a result of Executive’s exercise of non-qualified stock options or other stock based benefits).

  • MIP has the meaning set forth in Section 3(b) of the Agreement.

  • Bid incentive means an amount deducted, for bid evaluation purposes only, from the contract base bid in order to calculate the bid price to be used to evaluate the bid on a competitively bid contract.

  • Bonus means the bonus described in the Section 2.3.

  • Incentive Distribution Right means a Limited Partner Interest having the rights and obligations specified with respect to Incentive Distribution Rights in this Agreement (and no other rights otherwise available to or other obligations of a holder of a Partnership Interest).

  • Incentive Compensation Awards means awards granted under Incentive Compensation Plans providing the Executive with the opportunity to earn, on a year‑by‑year basis, annual and long‑term incentive compensation.