Vermont Medicare ACO Initiative Benchmarks definition

Vermont Medicare ACO Initiative Benchmarks means the ACO Benchmarks applicable to VMA ACOs and Vermont Modified Next Generation ACOs.
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Examples of Vermont Medicare ACO Initiative Benchmarks in a sentence

  • CMS may exercise its authority to set the Vermont Medicare ACO Initiative Benchmarks as articulated in Sections 5.c and 6.d of this Agreement.

  • CMS may exercise its authority to modify or set the Vermont Medicare ACO Initiative Benchmarks as articulated in sections 7.c and 9.d.

  • If CMS does not approve the CAP, or if the included corrective actions over one year from the implementation date of the CAP failed to place the State back on track for its performance against the financial targets, CMS shall directly set the Vermont Medicare ACO Initiative Benchmarks.

Related to Vermont Medicare ACO Initiative Benchmarks

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

  • 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.

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

  • Title IV-E Foster Care means a federal program authorized under §§ 472 and 473 of the Social

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

  • Statewide popular election means a general election in which

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

  • Number of Students Who Began Program means the number of students who began the program who are scheduled to complete the program within the reporting calendar year.

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

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

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Non-Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has not been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Medical flexible spending arrangement means a benefit plan

  • Qualified medical provider means the same as that term is defined in Section 26-61a-102.

  • 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:

  • Objective medical evidence means reports of examinations or treatments; medical

  • Seller 401(k) Plan has the meaning set forth in Section 5.5(e).

  • Adult foster care facility means an adult foster care facility licensed under the adult foster care facility licensing act, 1979 PA 218, MCL 400.701 to 400.737.

  • Long-term inpatient care means inpatient services for

  • National Medical Support Notice or “NMSN” shall mean a notice that contains the following information:

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

  • Palliative care means medical service rendered to reduce or moderate temporarily the intensity of an otherwise stable medical condition, but does not include those medical services ren- dered to diagnose, heal or permanently alleviate or eliminate a medical condition.

  • 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.

  • Number of Students Who Began the Program means the number of students who began a program who were scheduled to complete the program within 100% of the published program length within the reporting calendar year and excludes all students who cancelled during the cancellation period.

  • 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.

  • Qualified Medical Child Support Order means a Medical Child Support Order which creates (including assignment of rights) or recognizes an Alternate Recipient's right to receive benefits to which a Participant or Qualified Beneficiary is eligible under this Plan, and has been determined by the Plan Administrator to meet the qualification requirements as outlined under “Procedures” of this provision.