{"component": "clause", "props": {"groups": [{"snippet": "The Agency shall ensure that the Health Plan is cost-effective (see s. 409.912(42), F.S.). 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The Engineer shall evaluate cost-effectiveness by determining the benefits (dollar-value) associated with the reduction in vehicle delay due to a short-term improvement and comparing the benefit to the cost of implementing the improvement. 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The Parties will be fiscally prudent and adhere to approved budgets.", "snippet_links": [{"key": "based-on", "type": "definition", "offset": [69, 77]}, {"key": "best-available-science", "type": "clause", "offset": [82, 104]}, {"key": "action-plan", "type": "definition", "offset": [149, 160]}, {"key": "the-parties-will", "type": "clause", "offset": [162, 178]}, {"key": "adhere-to", "type": "clause", "offset": [203, 212]}, {"key": "approved-budgets", "type": "definition", "offset": [213, 229]}], "samples": [{"hash": "gtGPyPyCmL4", "uri": "/contracts/gtGPyPyCmL4#cost-effectiveness", "label": "Settlement Agreement", "score": 25.0410671234, "published": true}, {"hash": "9YWU4mglQEn", "uri": "/contracts/9YWU4mglQEn#cost-effectiveness", "label": "Settlement Agreement", "score": 24.4455852509, "published": true}, {"hash": "huDWy5sskIq", "uri": "/contracts/huDWy5sskIq#cost-effectiveness", "label": "Settlement Agreement", "score": 24.3351287842, "published": true}], "size": 3, "hash": "83ba8e505a4449b4c38eba52ebb5009c", "id": 4}, {"snippet": "For the purposes of this article 5, all assessments of cost effectiveness are subject to Schedule D.", "snippet_links": [{"key": "article-5", "type": "clause", "offset": [25, 34]}, {"key": "subject-to", "type": "clause", "offset": [78, 88]}], "samples": [{"hash": "ks128qm0UQf", "uri": "/contracts/ks128qm0UQf#cost-effectiveness", "label": "Energy Conservation Agreement", "score": 22.7180023193, "published": true}, {"hash": "6u3G3Ca5ZuW", "uri": "/contracts/6u3G3Ca5ZuW#cost-effectiveness", "label": "Energy Conservation Agreement", "score": 22.1334705353, "published": true}, {"hash": "aHQnqha4IAe", "uri": "/contracts/aHQnqha4IAe#cost-effectiveness", "label": "Energy Conservation Agreement", "score": 21.4147834778, "published": true}], "size": 3, "hash": "b404dc271e36c40021778f6e0417b805", "id": 5}, {"snippet": "The Companies agree to present joint Total Resource Cost (\u201cTRC\u201d) and Program Administrator Cost test (\u201cPACT\u201d) results for each program and each portfolio as part of its 2022- 2025 Plan filing and any ex-post cost effectiveness reporting. Results will be combined gas/electric results for programs saving both fuels. Results will include benefit-cost ratios as well as the net present value (\u201cNPV\u201d) of benefits, costs and net benefits for the following scenarios: with and without non-energy impacts (\u201c\u2587\u2587\u2587\u2587\u201d) (if available at the time of evaluation), as well as, at the portfolio-level TRC, with and without income qualified programs. To the extent there are delays in receiving the joint program cost-effectiveness details from other utilities, The Companies may file the joint TRC and PACT test results after the initial Plan filing, but no later than April 15, 2021. To the extent there are delays in receiving the joint program cost- effectiveness details from other utilities, the Companies may file the joint TRC and PAC test results after the initial Plan filing, but no later than April 15, 2021.", "snippet_links": [{"key": "the-companies", "type": "definition", "offset": [0, 13]}, {"key": "agree-to", "type": "clause", "offset": [14, 22]}, {"key": "program-administrator-cost-test", "type": "definition", "offset": [69, 100]}, {"key": "net-present-value", "type": "clause", "offset": [372, 389]}, {"key": "benefits-for", "type": "clause", "offset": [425, 437]}, {"key": "time-of-evaluation", "type": "clause", "offset": [529, 547]}, {"key": "the-portfolio", "type": "definition", "offset": [565, 578]}, {"key": "to-the-extent", "type": "clause", "offset": [634, 647]}, {"key": "program-cost", "type": "clause", "offset": [688, 700]}, {"key": "other-utilities", "type": "definition", "offset": [728, 743]}, {"key": "test-results", "type": "clause", "offset": [791, 803]}, {"key": "initial-plan", "type": "clause", "offset": [814, 826]}, {"key": "april-15", "type": "definition", "offset": [853, 861]}], "samples": [{"hash": "jm2XhzjQ4pm", "uri": "/contracts/jm2XhzjQ4pm#cost-effectiveness", "label": "Stipulation Agreement", "score": 30.1575107574, "published": true}, {"hash": "dUxhCUM3uvx", "uri": "/contracts/dUxhCUM3uvx#cost-effectiveness", "label": "Stipulation Agreement", "score": 30.1575107574, "published": true}, {"hash": "97bZCYa7DUp", "uri": "/contracts/97bZCYa7DUp#cost-effectiveness", "label": "Stipulation Agreement", "score": 30.1575107574, "published": true}], "size": 3, "hash": "cdd880934f8197e69fbdc4effec15266", "id": 6}, {"snippet": "The Agency shall ensure that the Health Plan is cost-effective (see s. 409.912(44), F.S.). The Agency may not renew this Contract if it is not cost-effective. HealthEase of Florida, Inc. Medicaid HMO Non-Reform Contract HealthEase of Florida, Inc. Medicaid HMO Non-Reform Contract", "snippet_links": [{"key": "the-agency-shall", "type": "clause", "offset": [0, 16]}, {"key": "health-plan", "type": "clause", "offset": [33, 44]}, {"key": "the-agency-may", "type": "clause", "offset": [91, 105]}, {"key": "this-contract", "type": "definition", "offset": [116, 129]}], "samples": [{"hash": "7DHee6kqMVf", "uri": "/contracts/7DHee6kqMVf#cost-effectiveness", "label": "Standard Contract (Wellcare Health Plans, Inc.)", "score": 21.0, "published": true}], "size": 3, "hash": "35c56f5e35e85017329717e2d1054295", "id": 7}, {"snippet": "Because of our utilization of experienced professionals, we are capable of providing services efficiently without sacrificing quality. We have competitively priced our proposal using staff assignments that we believe to be the most efficient and effective based on our firsthand experience performing various types of claims audits. Our rates reflect the unsurpassed quality of the specialized staff members who we recruit, train, retain, and continually educate in order to provide the Department with the best service possible.", "snippet_links": [{"key": "capable-of", "type": "definition", "offset": [64, 74]}, {"key": "providing-services", "type": "clause", "offset": [75, 93]}, {"key": "staff-assignments", "type": "clause", "offset": [183, 200]}, {"key": "we-believe", "type": "definition", "offset": [206, 216]}, {"key": "based-on", "type": "definition", "offset": [256, 264]}, {"key": "claims-audits", "type": "clause", "offset": [318, 331]}, {"key": "our-rates", "type": "clause", "offset": [333, 342]}, {"key": "quality-of-the", "type": "clause", "offset": [367, 381]}, {"key": "staff-members", "type": "definition", "offset": [394, 407]}, {"key": "the-department", "type": "clause", "offset": [483, 497]}], "samples": [{"hash": "8bsPxeksMIR", "uri": "/contracts/8bsPxeksMIR#cost-effectiveness", "label": "State Term Contract", "score": 28.9558067322, "published": true}, {"hash": "f76YNl63hQY", "uri": "/contracts/f76YNl63hQY#cost-effectiveness", "label": "State Term Contract", "score": 23.9787807465, "published": true}], "size": 2, "hash": "f9b0c381ad45048945d60428cd853d0a", "id": 8}, {"snippet": "the extent to which the costs of the alternatives are commensurate with their benefits;", "snippet_links": [{"key": "costs-of", "type": "clause", "offset": [24, 32]}], "samples": [{"hash": "46oLgMQzS27", "uri": "/contracts/46oLgMQzS27#cost-effectiveness", "label": "Cost Sharing Agreement", "score": 19.3202724457, "published": true}, {"hash": "4XyECOX108j", "uri": "/contracts/4XyECOX108j#cost-effectiveness", "label": "Cost Sharing Agreement", "score": 19.2928981781, "published": true}], "size": 2, "hash": "52acd9ed723818ff5544cf8899d8bca0", "id": 9}, {"snippet": "While not the only purpose of the evaluation, the core purpose of the evaluation is to support a determination as to whether the preponderance of the evidence about the costs and effectiveness of the demonstration when considered in its totality demonstrates cost effectiveness taking into account both initial and longer term costs and other impacts such as improvements in service delivery and health outcomes.\ni. The evaluation will explore and explain through developed evidence the effectiveness of the demonstration for each hypothesis, including total costs in accordance with the evaluation design as approved by CMS. Included in the evaluation will be examinations using a robust set of measures of provider access and clinical quality measures under the demonstration compared to what would have happened for a comparable population absent the demonstration.\nii. The state will compare total costs under the demonstration to costs of what would have happened without the demonstration. This will include an evaluation of provider rates, healthcare utilization and associated costs, and administrative expenses over time.\niii. The State will compare changes in access and quality to associated changes in costs within the demonstration. To the extent possible, component contributions to changes in access and quality and their associated levels of investment will be determined and compared to improvement efforts undertaken in other delivery systems.", "snippet_links": [{"key": "purpose-of-the-evaluation", "type": "clause", "offset": [19, 44]}, {"key": "preponderance-of-the-evidence", "type": "definition", "offset": [129, 158]}, {"key": "effectiveness-of-the", "type": "clause", "offset": [179, 199]}, {"key": "other-impacts", "type": "clause", "offset": [337, 350]}, {"key": "service-delivery", "type": "clause", "offset": [375, 391]}, {"key": "health-outcomes", "type": "definition", "offset": [396, 411]}, {"key": "total-costs", "type": "definition", "offset": [553, 564]}, {"key": "in-accordance-with", "type": "clause", "offset": [565, 583]}, {"key": "evaluation-design", "type": "clause", "offset": [588, 605]}, {"key": "approved-by", "type": "clause", "offset": [609, 620]}, {"key": "provider-access", "type": "definition", "offset": [708, 723]}, {"key": "clinical-quality-measures", "type": "clause", "offset": [728, 753]}, {"key": "the-state", "type": "clause", "offset": [873, 882]}, {"key": "costs-of", "type": "clause", "offset": [935, 943]}, {"key": "provider-rates", "type": "clause", "offset": [1031, 1045]}, {"key": "associated-costs", "type": "definition", "offset": [1074, 1090]}, {"key": "administrative-expenses", "type": "definition", "offset": [1096, 1119]}, {"key": "over-time", "type": "clause", "offset": [1120, 1129]}, {"key": "changes-in-costs", "type": "clause", "offset": [1203, 1219]}, {"key": "to-the-extent", "type": "clause", "offset": [1246, 1259]}, {"key": "contributions-to", "type": "clause", "offset": [1280, 1296]}, {"key": "delivery-systems", "type": "definition", "offset": [1444, 1460]}], "samples": [{"hash": "17kDAdyoEYD", "uri": "/contracts/17kDAdyoEYD#cost-effectiveness", "label": "Special Terms & Conditions", "score": 25.2423000336, "published": true}, {"hash": "9AEQgS2X3pJ", "uri": "/contracts/9AEQgS2X3pJ#cost-effectiveness", "label": "Special Terms & Conditions", "score": 23.5174541473, "published": true}], "size": 2, "hash": "9b3070d22a5ca0bf045cc4b7c09587b3", "id": 10}], "next_curs": "ClsSVWoVc35sYXdpbnNpZGVyY29udHJhY3RzcjcLEhZDbGF1c2VTbmlwcGV0R3JvdXBfdjU2Ihtjb3N0LWVmZmVjdGl2ZW5lc3MjMDAwMDAwMGEMogECZW4YACAA", "clause": {"title": "Cost Effectiveness", "parents": [["cost-management", "Cost Management"], ["action-plan", "Action Plan"], ["guiding-principles", "Guiding Principles"], ["plan-stipulations", "Plan Stipulations"], ["portfolio-level-stipulations", "Portfolio Level Stipulations"]], "children": [["reconciliation-schedule", "Reconciliation Schedule"], ["annual-reconciliations", "Annual Reconciliations"], ["\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587-utilization-data", "\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587 Utilization Data"], ["overview", "Overview"], ["per-capita-capitation-benchmark-pccb", "Per Capita Capitation Benchmark (PCCB)"]], "size": 69, "id": "cost-effectiveness", "related": [["amendment-effectiveness", "Amendment Effectiveness", "Amendment Effectiveness"], ["effectiveness", "Effectiveness", "Effectiveness"], ["notice-of-effectiveness", "Notice of Effectiveness", "Notice of Effectiveness"], ["integration-effectiveness", "Integration; Effectiveness", "Integration; Effectiveness"], ["termination-effectiveness", "Termination Effectiveness", "Termination Effectiveness"]], "related_snippets": [], "updated": "2025-07-24T04:27:56+00:00", "also_ask": ["How can 'Cost Effectiveness' be objectively measured and enforced in contracts?", "What drafting elements are essential to prevent ambiguity in cost effectiveness clauses?", "What negotiation leverage does a cost effectiveness clause provide to either party?", "What are the most common legal pitfalls or unenforceability risks with these clauses?", "How do courts in key jurisdictions interpret and apply cost effectiveness provisions?"], "drafting_tip": "Define cost effectiveness criteria clearly to avoid ambiguity; specify measurement methods to ensure enforceability; require periodic review to maintain relevance.", "explanation": "The Cost Effectiveness clause establishes that parties must seek to achieve objectives in a manner that minimizes unnecessary expenses and maximizes value. In practice, this clause may require contractors or service providers to select materials, methods, or solutions that deliver the required results at the lowest reasonable cost, or to justify expenditures that exceed standard benchmarks. Its core function is to ensure that resources are used efficiently, preventing wasteful spending and promoting fiscal responsibility throughout the duration of the agreement."}, "json": true, "cursor": ""}}