Total cost of care definition

Total cost of care means out-of-pocket costs and other
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Total cost of care means all costs for a perinatal episode of
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Total cost of care means the total expenditures for physical and mental health care an insurer reimbursed on
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Examples of Total cost of care in a sentence

  • Others will be assessed as needing the care which they are currently receiving and funding arrangements will follow.

  • The MSR by AE size is detailed in the Total Cost of Care Technical Guidance.

  • Moving to a Total Cost of Care (TCOC) model is a significant undertaking that requires preparation and investment such as training staff, purchasing appropriate infrastructure, and setting up electronic, secure communications.

  • The full methodology is detailed in the Total Cost of Care Technical Guidance.

  • State that a Preferred Provider’s participation in the ACO may preclude the individual or entity from participating in the Maryland Total Cost of Care Model.

  • Inform the executive of the TIN that a Preferred Provider’s participation in the ACO may preclude the TIN/NPI combination associated with that individual or entity from participating in the Maryland Total Cost of Care Model.

  • Instead, participation requirements are based on the selection of local quality measures to impact within the five HTP Focus Areas:● Reducing Avoidable Hospital Utilization● Core Populations● Behavioral Health and Substance Use Disorders● Clinical and Operational Efficiencies● Community Development Efforts to Address Population Health and Total Cost of Care Hospitals will be required to address statewide measures for each Focus Area.

  • State that participation in the Model may preclude the individual or entity from participating in the Medicare Shared Savings Program, another REACH ACO in the Model, the Vermont Medicare ACO Initiative, the Kidney Care Choices Model, any other Medicare initiative that involves shared savings (except as otherwise specified by CMS), the Primary Care First Model, the Maryland Total Cost of Care Model, and the Independence at Home Demonstration.

  • Vermont shall limit All-payer Total Cost of Care per Beneficiary Growth to 3.5 percent (the “All-payer Total Cost of Care per Beneficiary Growth Target”).

  • A Year-End Quality Adjustment will also be applied to the ACOs’ Expected Total Cost of Care during the reconciliation period based on the ACOs’ quality performance.


More Definitions of Total cost of care

Total cost of care means, generally, the Payer’s financial cost of providing qualifying health care services to ACO’s Attributed Lives for a Performance Year. An Estimated Total Cost of Care is set between ACO and Payers before the Performance Year, and the ACO’s performance is measured by the difference between ACO Program Estimated Total Cost of Care and ACO Program Actual Total Cost of Care (the Payer’s actual cost). Each Program Agreement between ACO and a Payer will more particularly describe components of Total Cost of Care for that Program, for example, pharmacy may be excluded from some Programs’ calculations of Total Cost of Care.
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Total cost of care means out-of-pocket costs and other costs for services rendered by in-network dental providers that exceed the qualified dental plan maximum benefit for the plan year.
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Total cost of care means all costs for a perinatal episode of care as calculated by claims data, with a risk adjustment for clinical factors that affect the cost of delivering an episode for specific patients.
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Total cost of care or “TCOC” means the aggregate Medicare FFS costs for all items and services, or a specified subset thereof, furnished to Medicare FFS Beneficiaries.
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Total cost of care means, in the context of this Contract, the cost of services as specified in Attachment A, Patient Attribution Method, Provider Taxonomy, and Services Provided, using the list of core services in Section 4.1 (Core Services).
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Total cost of care or “TCOC” means, generally, the Payer’s financial cost of providing qualifying health care services to ACO’s Attributed Lives for a Performance Year. An Estimated Total Cost of Care is set between ACO and Payers before the Performance Year, and the ACO’s performance is measured by the difference between ACO Program Estimated Total Cost of Care and ACO Program Actual Total Cost of Care (the Payer’s actual cost). Each Program Agreement between ACO and a Payer will more particularly describe components of Total Cost of Care for that Program, for example, pharmacy may be excluded from some Programs’ calculations of Total Cost of Care.
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Related to Total cost of care

  • Total cost means the total annual cost of benefits and related costs including but not limited to claims, administration expenses, insurance premiums, consulting, auditing and advisory fees and all other costs and taxes, as reported on the insurance carrier’s most recent yearly statement, and if any, premium costs on other district school area board or public school authority statements, for the year ending no later than August 31, 2015. The aforementioned statements are to be provided to the Ministry of Education. Total Cost excludes retiree costs. The average number of Full-Time Equivalent (FTE) positions in the bargaining unit as at October 31st and March 31st for the period consistent with this clause.

  • Total Costs means the sum of all direct and indirect costs associated with the purchase of the goods incurred by CPUT, including but not limited to the invoice price, goods life, service costs, distribution costs, transaction costs, inventory costs, purchasing administration costs and other costs incurred with the use of the goods provided by the Bidder.

  • Normal cost means the annual cost attributable, under the actuarial cost method in use, to current and future years as of a particular valuation date, excluding any payment in respect of an unfunded actuarial liability.

  • Trip Cost means the dollar amount of Trip payments or deposits paid by the Insured prior the Insured’s Trip Departure Date and shown on any required application which is subject to cancellation penalties or restrictions. Trip cost will also include the cost of any subsequent pre-paid payments or deposits paid by the Insured for the same Trip, after application for coverage under this plan provided the Insured amends the Application to add such subsequent payments or deposits and pays any required additional plan cost prior to the Insured’s Departure Date.

  • Original Cost means the total amount paid to purchase a security, including any transaction charges related to the purchase;

  • Actual Cost means the cost of depleted supplies, records storage media costs, actual mailing and alternative delivery costs, or other transmitting costs, and any direct equipment operating and maintenance costs, including actual costs paid to private contractors for copying services.

  • Manufacturing Cost means ***

  • Fully Burdened Manufacturing Cost means, with respect to any Licensed Product supplied by or on behalf of NVCR to Zai hereunder if such Licensed Product (or any precursor or intermediate thereof) is manufactured by a Third Party manufacturer [***].

  • Fully Loaded Cost means the direct cost of good or service plus all applicable indirect charges and overheads.

  • book cost means the total amount paid to purchase a security, including any transaction charges related to the purchase, adjusted for reinvested distributions, returns of capital and corporate reorganizations;

  • Standard Cost means any cost computed with the use of preestablished measures.

  • Equipment Cost means, for each Unit, the purchase price therefor -------------- paid by the Owner Trustee to the Lessee pursuant to Section 2 of the Participation Agreement and as set forth in Schedule 1 to the Participation Agreement with respect to such Unit. Notwithstanding anything to the contrary contained in the Operative Agreements, the Equipment Cost for any Replacement Unit shall be deemed to be the Equipment Cost or deemed Equipment Cost of the Unit replaced by such Replacement Unit.

  • Operating Cost means the costs associated with operating a multifamily development once the project is placed in service.

  • Cost of Sales means any costs incurred of the type included in the “Cost of sales (excluding depreciation expense)” line item in the consolidated statement of operations of the Partnership prepared in accordance with GAAP, as presently applied.

  • Direct Cost means a cost not to exceed the cost of labor, material, travel and other expenditures to the extent the costs are directly incurred to provide the relevant assistance or service. “Direct Cost” to the Acquirer for its use of any of a Respondent’s employees’ labor shall not exceed the average hourly wage rate for such employee;

  • Cost of Goods means the fully burdened cost to manufacture Compound or Drug Product, as applicable, (the “Supplied Product”) which means: (a) [ * ]; and (b) in the case of [ * ]. Actual unit costs shall consist of [ * ].

  • FTE Cost means, for any period, the FTE Rate multiplied by the number of FTEs in such period.

  • Stranded cost means the amount by which the net cost of an

  • Cost of the Project means and embraces the cost of construction; the cost of all

  • Cost of the Work means those costs described in Paragraph 11.2.

  • Historical cost means the actual cost incurred in acquiring and preparing a fixed asset for use. Historical cost includes such planning costs as feasibility studies, architects' fees, and engineering studies. Historical cost does not include "start-up costs" as defined in this rule.

  • Monthly Uptime Percentage means total number of minutes in a calendar month minus the number of minutes of Downtime suffered in a calendar month, divided by the total number of minutes in a calendar month.

  • Cost of Goods Sold means [ * ].

  • Indirect Cost Rate means a device for determining in a reasonable manner the proportion of indirect costs each Program should bear. It is a ratio (expressed as a percentage) of the Indirect Costs to a Direct Cost base. If reimbursement of Indirect Costs is allowable under an Award, Grantor will not reimburse those Indirect Costs unless Grantee has established an Indirect Cost Rate covering the applicable activities and period of time, unless Indirect Costs are reimbursed at a fixed rate.

  • Eligible cost means as applied to a qualified project to be financed from the federal accounts, the costs that are permitted under applicable federal laws, requirements, procedures, and guidelines in regard to establishing, operating, and providing assistance from the bank. As applied to a qualified project to be financed from the state highway account, these costs include the costs of preliminary engineering, traffic and revenue studies, environmental studies, right‑of‑way acquisition, legal and financial services associated with the development of the qualified project, construction, construction management, facilities, and other costs necessary for the qualified project. As applied to any qualified project to be financed from the state transit account, eligible project costs are limited to capital expenditures for transit equipment and facilities.

  • Gross weight means the aggregate weight of a vehicle or combination of vehicles and the load