Shared Savings Program definition

Shared Savings Program means the State’s program found in subsection 110.12303(2)(a), F.S., that provides “Reward Payments” to participants utilizing comprehensive pricing and inclusive services for surgery and other medical procedures sponsored by the State.

Shared Savings Program means the price transparency and bundled surgical services plans implemented under sections 110.1245 and 110.12303, Florida Statutes.

Shared Savings Program means a financial incentive program offered to health benefit plan members for choosing certain procedures or services at more cost-efficient healthcare providers or locations. Such incentives may include, but are not limited to, cash payments, gift cards, credits or reductions of premiums, copayments, cost-sharing, or deductibles.

Examples of Shared Savings Program in a sentence

• The national Medicare performance percentile will be equal to the national Medicare 75th percentile used for the Medicare Shared Savings Program quality measure benchmarks for PY1.

• Medicare ACO – accountable care contracts administered by the Medicare program, including the Medicare Shared Savings Program, the Pioneer ACO program, and the CMS Next Generation ACO program.

• Third Party Liability Recovery (Subrogation) Services Fee equal to thirty-three and one-third percent (33.3%) of the gross recovery amount Advanced Analytics and Recovery Services Fee equal to twenty four percent (24%) of the gross recovery amount Shared Savings Program Customer will pay a fee equal to twenty-nine percent (29%)of the Savings Obtained as a result of the Shared Savings Program, to be paid through a withdrawal from the Bank Account.

• This does not include those providers who have agreed to discount their charges for Covered Health Care Services by way of their participation in the Shared Savings Program.

• Pursuant to Section 1899(b)(4)(A) of the Act, Provider may not be an ACO participant, ACO provider/supplier, or ACO professional in an accountable care organization in the Medicare Shared Savings Program.

• In the event of conflict between the language of this Agreement and any Program Regulations, the language of the Program Regulations shall prevail with respect to the terms applicable to the Medicare Shared Savings Program.

• Medicare ACO – Accountable care contracts administered by the Medicare program, including the Medicare Shared Savings Program, the Pioneer ACO program, and the CMS Next Generation ACO program Member – a person determined by EOHHS to be eligible for MassHealth.

• If a Participant is enrolled in a network plan and receives services from a network provider under the terms of that plan, then health benefits payable for services rendered by that provider will be based on the applicable rates for fees for services set forth in our provider agreement with that provider rather than based on the discounts available under the Shared Savings Program.

• This averaged percentile will then be compared to the target of 75th percentile of national Medicare performance used for the Medicare Shared Savings Program quality measure benchmarks for PY1.

• Except as otherwise provided in this Agreement, the parties shall comply with the requirements for ACOs participating in Track 1 of the Shared Savings Program set forth in 42 CFR part 425 and the Shared Savings Program ACO Participation Agreement.

More Definitions of Shared Savings Program

Shared Savings Program means the price transparency and bundled surgical services plans implemented under section 110.1245, Florida Statutes.