Vermont Medicare ACO Initiative definition

Vermont Medicare ACO Initiative or “Initiative” is the ACO initiative that will start in Performance Year 2 of this Model and will be executed under a Vermont Medicare ACO Initiative Participation Agreement, as described in section 8.
Sample 1Sample 2Sample 3

Examples of Vermont Medicare ACO Initiative in a sentence

  • Participant and Preferred Provider agree to participate in the Program, to engage in ACO Activities, to comply with the applicable terms of the Program as set forth in the Vermont Medicare ACO Initiative Agreement and to comply with all applicable laws and regulations.

  • Participant warrants that it has the authority to and does bind itself and employees, including each Provider with an NPI number billing under its TIN who is included on the Vermont Medicare ACO Initiative Participant List, to the Agreement and this Program Addendum.

  • Operational Implications (for either Initial Visits or Revisits) An institution receiving Denial of Accreditation must: Take immediate steps to close all credential programs at the end of the semester or quarter in which the COA decision occurs. Announce that it has had its accreditation for educator preparation denied.

  • Participants whose TIN includes NPIs of a “Primary Care Practitioner” who bills “Qualified Evaluation and Management” services (as both terms are defined by the Vermont Medicare ACO Initiative Agreement) may not participate in more than one Medicare Alternative Payment Model or with any other accountable care organization in which they attribute or align Medicare lives.

  • The Vermont Medicare ACO Initiative succeeds the Medicare Next Generation Model.

  • Any Participant who is eligible to align or attribute lives may only participate in one ACO Program per Payer, for example if an eligible aligning Participant is in Medicare NextGen or Vermont Medicare ACO Initiative, it may not be in MSSP.

  • BACKGROUND ACO has entered into the Vermont Medicare ACO Initiative Program Agreement with the Centers for Medicare and Medicaid Services (“CMS”) and the Green Mountain Care Board (“GMCB”) through which the ACO will participate in the Vermont Medicare ACO Initiative (the “Program”), an alternative payment and population health management program.

  • Together these authorities make it possible for physicians and other clinicians in Vermont to participate the aligned and state-specific Vermont Medicare ACO Initiative and Medicaid ACO initiative.

  • The new converts would have been attending the synagogue services and learning the rest of the laws.

  • Ibid.Theological syncretism, on the other hand, occurs when biblical truths are diluted to cultural beliefs.

Related to Vermont Medicare ACO Initiative

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

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

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;

  • Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.

  • Centers for Medicare and Medicaid Services or “CMS” means the federal office under the Secretary of the United States Department of Health and Human Services, responsible for the Medicare and Medicaid programs.

  • CMS means the Centers for Medicare and Medicaid Services.

  • Home health care services means medical and nonmedical services, provided to ill, disabled or infirm persons in their residences. Such services may include homemaker services, assistance with activities of daily living and respite care services.

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.

  • Child Care Program means a person or business that offers child care.

  • Health care services means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease.

  • Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

  • Health care entity means any health care provider, health plan or health care clearinghouse.

  • Pharmacy care means medications prescribed by a licensed physician and any health-related services considered medically necessary to determine the need or effectiveness of the medications.

  • Health plan or "health benefit plan" means any policy,

  • Community mental health program means all mental health

  • Foster care services means the provision of a full range of casework, treatment and community

  • Nursing Care Plan means a plan of care developed by a nurse that describes the medical, nursing, psychosocial, and other needs of a child and how those needs shall be met. The Nursing Care Plan includes which tasks shall be taught, assigned, or delegated to the qualified provider or family.

  • Asset Management Plan means a plan created by the department and approved by the state transportation commission or a plan created by a local road agency and approved by the local road agency's governing body that includes provisions for asset inventory, performance goals, risk of failure analysis, anticipated revenues and expenses, performance outcomes, and coordination with other infrastructure owners.

  • Adult foster care means room and board, supervision, and special services to an adult who has a

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Medical flexible spending arrangement means a benefit plan

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.

  • Pharmacy benefits manager means a person that performs pharmacy benefits management.

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Health care practitioner means an individual licensed