Common use of Capitated Contracts Clause in Contracts

Capitated Contracts. For certain Payors, Physician may be asked to accept capitation, a percentage of premiums, global fee or some other remuneration arrangement inconsistent with traditional fee for service arrangements. In such case, Physician will receive a written summary of the remuneration terms and other pertinent contract terms and will be given the opportunity to accept the terms of that arrangement by written amendment to this Agreement signed by both Physician and Network. Under capitated contracts, Physician agrees that IPA has the right to bind Physician to participate in Payer Plans which are consistent with the provisions set forth in Exhibit C and in which the reimbursement for Physician’s services equals or exceeds the reimbursement schedule set forth in Exhibit C, which is attached and hereby incorporated by reference and made part of this Agreement and as such Exhibit may from time- to-time be amended by mutual agreement. If the Payer Plan is consistent with the standards of the IPA, Physician shall have fifteen (15) days from receipt of such information to notify IPA in writing of his or her decision not to participate in this Payer Plan. If the Payer Plan is inconsistent with the Standards of the IPA, Physician shall have seven (7) days from receipt of such information to notify IPA in writing of his or her decision not to participate.

Capitated Contracts. For certain Payors, Physician Provider may be asked to accept capitation, a percentage of premiums, global fee or some other remuneration arrangement inconsistent with traditional fee for service arrangements. In such case, Physician Provider will receive a written summary of the remuneration terms and other pertinent contract terms and will be given the opportunity to accept the terms of that arrangement by written amendment to this Agreement signed by both Physician Provider and Network. Under capitated contracts, Physician Provider agrees that IPA has the right to bind Physician Provider to participate in Payer Plans which are consistent with the provisions set forth in Exhibit C and in which the reimbursement for PhysicianProvider’s services equals or exceeds the reimbursement schedule set forth in Exhibit C, which is attached and hereby incorporated by reference and made part of this Agreement and as such Exhibit may from time- time-to-time be amended by mutual agreement. If the Payer Plan is consistent with the standards of the IPA, Physician Provider shall have fifteen (15) days from receipt of such information to notify IPA in writing of his or her decision not to participate in this Payer Plan. If the Payer Plan is inconsistent with the Standards of the IPA, Physician Provider shall have seven (7) days from receipt of such information to notify IPA in writing of his or her decision not to participate.