Appropriate Use of C- Sections Sample Clauses

Appropriate Use of C- Sections. Article 5, Section 5.013 Expectation: Contractor shall report percent of low risk, Nulliparous Term Xxxxxxxxx Vertex (NTSV) C-Section rates and overall C- Section rates for all Exchange network maternity hospitals where 4.5% total performance penalty at risk data is available in its annual Application for Certification starting in application for 2017. Performance Levels Contractor does not report network low risk maternity hospital C- Section rates and overall C-Section rates.: 2% penalty Contractor reports low risk C-Section rates for network maternity hospitals and overall C-Section rates.: No penalty Contractor engages hospitals not tracking C-Section rates to initiate and submit information to the Maternity Data Center.: 2% credit Expectation: Contractor shall adopt new payment strategies for physicians and hospitals such that by 2019 payment for Exchange enrollees is structured to support only medically necessary care and there is no financial incentive to perform C-sections. Contractor will report progress in Application for Certification for 2019. Performance Levels Contractor reports no physicians or maternity hospitals in Exchange network(s), reported separately, contracted based on new payment strategy: 2.5% penalty Contractor reports fewer than 20% of physicians or maternity hospitals in Exchange network(s), reported separately, contracted under new payment strategy: no penalty Contractor reports 20% or more of physicians or maternity hospitals in Exchange network(s), reported separately, contracted under new payment strategy.: 2.5% credit
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