Common use of Demonstration Clause in Contracts

Demonstration. Phase II of the Rhode Island Integrated Care Initiative, implemented through the Financial Alignment Initiative, a CMS initiative that partners with states, health plans, and coordinated care entities to integrate service delivery and financing for Medicare-Medicaid enrollees. CMS’ Financial Alignment Initiative uses two models to integrate service delivery and financing: 1) a capitated model, under which a State, CMS, and a health plan enter into a three-way contract, and the plan receives a prospective blended payment to provide comprehensive, coordinated care; and 2) a managed fee-for-service model, under which a State and CMS enter into an agreement by which the State would be eligible to benefit from a portion of savings from initiatives designed to improve quality and reduce costs for both Medicare and Medicaid. In Rhode Island, the Financial Alignment Initiative is using the Capitated Financial Alignment Model. See also Capitated Financial Alignment Model.

Demonstration. Phase II of the Rhode Island Integrated Care Initiative, implemented through the Financial Alignment Initiative, a CMS initiative that partners with states, health plans, and coordinated care entities to integrate service delivery and financing for Medicare-Medicaid enrolleesEnrollees. CMS’ Financial Alignment Initiative uses two models to integrate service delivery and financing: : 1) a capitated model, under which a State, CMS, and a health plan enter into a three-way contractContract, and the plan receives a prospective blended payment to provide comprehensive, coordinated care; and 2) a managed fee-for-service model, under which a State and CMS enter into an agreement by which the State would be eligible to benefit from a portion of savings from initiatives designed to improve quality and reduce costs for both Medicare and Medicaid. In Rhode Island, the Financial Alignment Initiative is using the Capitated Financial Alignment Model. See also Capitated Financial Alignment Model.

Demonstration. Phase II of the Rhode Island Integrated Care Initiative, implemented through the Financial Alignment Initiative, a CMS initiative that partners with states, health plans, and coordinated care entities to integrate service delivery and financing for Medicare-Medicaid enrolleesEnrollees. CMS’ Financial Alignment Initiative uses two models to integrate service delivery and financing: 1) a capitated model, under which a State, CMS, and a health plan enter into a three-way contractContract, and the plan receives a prospective blended payment to provide comprehensive, coordinated care; and 2) a managed fee-for-service model, under which a State and CMS enter into an agreement by which the State would be eligible to benefit from a portion of savings from initiatives designed to improve quality and reduce costs for both Medicare and Medicaid. In Rhode Island, the Financial Alignment Initiative is using the Capitated Financial Alignment Model. See also Capitated Financial Alignment Model.