Prospective Alignment definition

Prospective Alignment refers to the Alignment Methodology in which Beneficiaries are aligned to the ACO only prospectively prior to the start of the Performance Year based on both Claims-Based Alignment and Voluntary Alignment.
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Prospective Alignment refers to the Alignment Methodology in which Beneficiary alignment is performed only prospectively prior to the start of the Performance Year based on both Claims- Based Alignment and Voluntary Alignment.
Sample 1
Prospective Alignment refers to the Alignment Methodology in which Beneficiaries are aligned to the DCE only prospectively prior to the start of the Performance Year based on both Claims-Based Alignment and Voluntary Alignment.
Sample 1

Examples of Prospective Alignment in a sentence

  • For PY2021, the following initiatives will take precedence over GPDC for beneficiary alignment (if applicable): the Independence at Home Demonstration, the Comprehensive Primary Care Plus Model, the Primary Care First Model, the Maryland Total Cost of Care Model, the Comprehensive ESRD Care Model, the Medicare Shared Savings Program (Prospective Alignment only), the Vermont All- Payer ACO Model, and the Next Generation ACO Model.

  • However, electronic voluntary alignment will be used for all DCEs annually, prior to the start of the PY when they select Prospective Alignment.

  • For DCEs that choose Prospective Alignment, voluntary alignment (paper-based and electronic voluntary alignment) will only be available prior to the start of each PY.

  • The DCE can elect to change their alignment selection from Prospective Alignment or Prospective Plus Alignment Plus prior to the start of each PY.

  • For PY2024, the following initiatives will take precedence over ACO REACH for beneficiary alignment (if applicable): the Independence at HomeDemonstration, the Maryland Primary Care Program, the Kidney Care Choices Model, the Medicare Shared Savings Program (Prospective Alignment only), the Primary Care First Model, and the Vermont All-Payer ACO Model.

  • DCEs will have two choices for the frequency of beneficiary voluntary alignment (1) Prospective Alignment, or (2) Prospective Plus Alignment.

Related to Prospective Alignment

  • Prospective donor means an individual who is dead or near death and has been determined by a procurement organization to have a part that could be medically suitable for transplantation, therapy, research, or education. The term does not include an individual who has made a refusal.

  • Prospective budgeting means the determination of eligibility and the amount of assistance for a calendar month based on the best estimate of income and circumstances which will exist in that calendar month.

  • Prospective tenant means a tenant or a person who has

  • Prospective party means a person that discusses with a prospective collaborative lawyer the possibility of signing a collaborative law participation agreement.

  • Prospective Customer means any individual, corporation, trust or other business entity which has either (a) entered into a nondisclosure agreement with the Company or any Company subsidiary or affiliate or (b) has within the preceding 12 months received a currently pending and not rejected written proposal in reasonable detail from the Company or any of the Company’s subsidiary or affiliate.

  • Prospective contractor means a person who is subject to the competitive sealed proposal process set forth in the Procurement Code or is not required to submit a competitive sealed proposal because that person qualifies for a sole source or a small purchase contract.

  • prospective sale means a sale which is intended to be made in the future, upon the occurrence of a stated event, whether or not the occurrence of the event is certain;

  • Prospective Client means any person or entity to which the Corporation, or any of its Subsidiaries, provided, or from which the Corporation, or any of its Subsidiaries received, a proposal, bid, or written inquiry (general advertising or promotional materials and mass mailings excepted) and with which the Participant had contact, or about which the Participant had access to Confidential Information, during the last twelve (12) months of his or her employment.

  • prospective assignment means an assignment that is intended to be made in the future, upon the occurrence of a stated event, whether or not the occurrence of the event is certain;

  • Projects means the projects identified in Exhibit A to the Agreement and all other projects, any costs of which are included in a Transitional Capital Plan pursuant to the Act or are Recovery Costs, and financed, by payment or reimbursement, with the proceeds of Bonds or Notes.

  • Outdoor cultivation means the cultivation of mature cannabis without the use of artificial lighting or light deprivation in the canopy area at any point in time. Artificial lighting is permissible only to maintain immature plants outside the canopy area.

  • Prospective employee means an assessed individual who is anticipated to be hired upon completion of training.

  • Cannabis processing facility means a person that:

  • Prospective Student means an Applicant for admission to an Educational Institution.

  • Competitive contracting means the method described in sections 45 through 49 of P.L.1999, c.440 (C.18A:18A-4.1 through C.18A:18A-4.5) of contracting for specialized goods and services in which formal proposals are solicited from vendors; formal proposals are evaluated by the purchasing agent or counsel or School Business Administrator; and the Board awards a contract to a vendor or vendors from among the formal proposals received.

  • Principals or Key Personnel means and refers to those principals and key personnel of the Contractor, and its or their agents, as described in C.G.S. §§ 4-250(5) and 4-252(c)(1)(B) and (C).

  • Development Area means that area to which a development plan is applicable.

  • Critical areas means any of the following areas or ecosystems: wetlands, critical aquifer recharge areas, streams, fish and wildlife habitat conservation areas, frequently flooded areas, and geologically hazardous areas as defined by the Growth Management Act (RCW 36.070A.170).

  • Self-service storage facility or "facility" means any real property designed or used for the purpose of renting or leasing individual storage space to tenants who are to have access to that space for the purpose of storing and removing personal property.

  • Participating Prosthetic Provider means a Prosthetic Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Impact surface means an interior or exterior surface that is subject to damage by repeated sudden force such as certain parts of door frames.

  • Play area means an area of frequent soil contact by children of less than six years of age as indicated by, but not limited to, factors including the following: the presence of play equipment (sandboxes, swing sets, and sliding boards), toys, or other children’s possessions, observations of play patterns, or information provided by parents, residents, caregivers, or property owners.

  • Prospective Purchaser shall have the meaning set forth herein in Section 2.2(a).

  • Critical area means an ISO Class 5 environment.

  • Representative of a prospective contractor means an officer or director of a corporation, a member or manager of a limited liability corporation, a partner of a partnership or a trustee of a trust of the prospective contractor.

  • Active business operations means all business operations that are not inactive business operations.