Apm Year Sample Clauses
The "APM Year" clause defines the specific 12-month period used for measuring and reporting performance, obligations, or other contractual metrics under the agreement. Typically, this period may align with the calendar year, fiscal year, or another agreed-upon timeframe, and it is used as a reference point for tracking annual targets, payments, or deliverables. By clearly establishing the relevant annual period, the clause ensures consistency and clarity in how yearly requirements are calculated and fulfilled, preventing misunderstandings about timing and performance measurement.
Apm Year. 2
a. Utilization Risk Corridor The Utilization Risk Corridor is defined as the number of Inpatient Days that wrap around the days that State has committed to purchase on a prospective basis in the APM Year. This corridor will be determined using a percentage threshold above and below the value of prospective purchase days. In APM Year 2, the utilization corridor is 98% to 102% of the total prospective days purchased for the period of January 1, 2022 through June 30, 2022 of 7,422. For the period of July 1, 2022 through December 31, 2022, the utilization corridor is 98% to 102% of the total prospective days purchased of 9,384.
i. The Utilization Risk Corridor, therefore, shall be applied as follows for APM Year 2 and calculations shall be factored into the Year-End Reconciliation.
1. For the period of January 1, 2022 through June 30, 2022, if the actual number of Inpatient Days utilized by Vermont Medicaid members is between 7,570 and 7,274 then Contractor shall be liable for the costs to serve patients for these days. For the period of July 1, 2022 through December 31, 2022, if the actual number of Inpatient Days utilized by Vermont Medicaid members is between 9,572 and 9,196 then Contractor shall be liable for the costs to serve patients for these days.
2. For the period of January 1, 2022 through June 30, 2022, if the actual number of Inpatient Days utilized by Vermont Medicaid members is greater than 7,570 then the State will reimburse Contractor at a rate of $2,550 for each day above 7,570. For the period of July 1, 2022 through December 31, 2022, if the actual number of Inpatient Days utilized by Vermont Medicaid members is greater than 9,572, then the State will reimburse Contractor at a rate of $3,100 for each day above 9,572.
3. For the period of January 1, 2022 through June 30, 2022, if the actual number of Inpatient Days utilized by Vermont Medicaid members is below 7,274, then Contractor shall reimburse back to the State an amount equivalent to $2,550 per day for each day below 7,274. For the period of July 1, 2022 through December 31, 2022, if the actual number of Inpatient Days utilized by Vermont Medicaid members is below 9,196, then Contractor shall reimburse back to the State an amount equal to $3,100 per day for each day below 9,196.
ii. If during the contract, the State or Contractor determines that the Inpatient Days utilization are 10% or more under the expected utilization as specified in Table 2 of Attachment B, then the Parties shall...
Apm Year