Hospitalizations Sample Clauses

Hospitalizations. For any eligible person who applies for participation in the contractor's plan, but who is hospitalized prior to the time coverage under the plan becomes effective, such coverage shall not commence until the date after such person is discharged from the hospital and DMAHS shall be liable for payment for the hospitalization, including any charges for readmission within forty-eight (48) hours of discharge for the same diagnosis. If an enrollee's disenrollment or termination becomes effective during a hospitalization, the contractor shall be liable for hospitalization until the date such person is discharged from the hospital, including any charges for readmission within forty-eight (48) hours of discharge for the same diagnosis. The contractor must notify DMAHS of these occurrences to facilitate payment to appropriate providers.
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Hospitalizations. If a MVT Employee is in a hospital or other inpatient setting on the Distribution Date, the costs associated with such inpatient treatment shall be allocated between the MI Health Plans and the MVT Health Plans on a pro rata basis so that the MI Health Plans bear the costs associated with such treatment for the number of days ending with the day prior to the Distribution Date and the MVT Health Plans bear the cost associated with such treatment for the number of days beginning with the Distribution Date. The MI Health Plans shall pay for such treatment and the MVT Group or the MVT Health Plans shall reimburse the MI Health Plans or the associated MI VEBAs for that portion of the treatment which is its liability under this paragraph (b).
Sample 1Sample 2Sample 3
Hospitalizations. Goal: To increase or maintain the probability of clients remaining in the community and out of the hospital. Objective: No more than fifteen percent (15%) of the clients in each of the programs listed above in this Paragraph IV. C. shall be hospitalized Data to be collected by Contractor. Note: Contractor shall establish baseline data for the contract year in order to set realistic outcomes for subsequent contract years.
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Hospitalizations. 4.1 __% of clients admitted to hospital or hospitalized (State hospital or any other hospital for psychiatric care) Calculate the number of clients served. Calculate the number of clients who were hospitalized (not including ER visits) for psychiatric care at any time during the period. Divide the number hospitalized by the number receiving Services.
Sample 1
Hospitalizations. The leading causes of injury hospitalizations in Kentucky in 2010 were unintentional falls (10,753), motor vehicle traffic crashes (2,385), and intentional self-harm by poisoning (2,056). Unintentional falls were the leading cause of injury hospitalizations for Kentucky residents age fourteen and younger and age 45 and older. Motor vehicle traffic accidents were the leading cause of injury hos- pitalization for Kentuckians ages 15 to 24, and unintentional poisonings were the top cause for those ages 25 to 44. The 24,914 hospitalizations for Kentucky residents in 2010 represents a very slight (-0.7%) de- crease compared to the 25,093 we reported in 2009. MTVC hospitalizations continued to decline strongly to 2,386 in 2010 compared to 3,021 in 2009 (21% decrease). Hospitalizations for all poi- sonings increased from 4,083 in 2009 to 4,333 in 2010 (6% increase). (Preliminary data suggest that both of these trends continued in 2011, and also that there was a slight uptick in the overall number of injury hospitalizations in 2011. However the 2011 numbers are provisional at this time and subject to change.)
Sample 1
Hospitalizations. For any eligible person who applies for participation in the contractor's plan, but who is hospitalized prior to the time coverage under the plan becomes effective, such coverage shall not commence until the first day of the month after such person is discharged from the hospital and DMAHS shall be liable for payment for the hospitalization and for medical services received after the hospital discharge until the first day of the the next month thereafter, including any charges for readmission within forty- eight (48) hours of discharge for the same diagnosis. If an enrollee's disenrollment or termination becomes effective during a hospitalization, the contractor shall be liable for hospitalization until the date such person is discharged from the hospital, including any charges for readmission within forty-eight (48) hours of discharge for the same diagnosis.
Sample 1
Hospitalizations. In 2009, there were a total of 7,646 hospitalizations among children under the age of 18 in Florida with asthma listed as the primary diagnosis. This group accounts for about a quarter (24.9%) of all asthma‐related hospitalizations. Younger children had a larger number of hospitalizations than older children (Table 3). Table 3. Counts of Asthma Hospitalizations by Age Group, Ages 0‐17, AHCA 2009 Age Group Count Percent 0 – 4 4,046 53% 5‐10 2,520 33% 11‐17 1,080 14% Total 7,646 100% The Healthy People 2020 objective for asthma hospitalizations reduces hospitalization rates to less than 18.1 per 10,000 (or 181 per 100,000) among children ages 0 to 4 and less than 8.6 per 10,000 (or 86 per 100,000) for children ages 5 to 17 nationwide. In 2009, the crude rate of asthma hospitalizations in Florida for children ages 0‐4 was 355.9 per 100,000 and the rate for children ages 5‐17 was 119.5 per 100,000. Males (230.4) had a higher rate of asthma hospitalizations than females (136.1). Black children had a higher rate of asthma hospitalizations (432.4) than white children (102.1), again a notable disparity (Figure 10). Figure 10. Asthma Hospitalization Crude Rates, Ages 0-17, by Gender and Race, AHCA 2009 432.4 230.4 136.1 102.1 500 Rate per 100,000 400 300 200 100 0 Male Female White Black The rate of hospitalizations varied by geographical location, but not necessarily by rurality (Figure 11). For county‐specific asthma hospitalization rates, please view the fact sheet, Florida Asthma Hospitalization Rates, 2006‐2009, available at: xxxx://xxx.xxxxxxxxxxx.xxx/medicine/Asthma/FLAsthmaHospitalizationRates.pdf. Figure 11. Asthma Hospitalization Crude Rates, Ages 0‐17, by County, AHCA 2009 R = Rural NR = Non‐Rural In 2009, the average charge of an asthma hospitalization for a child less than 18 was approximately $12,320 and the total charges for asthma hospitalizations for this age group were $157.6 million. Approximately 63% of the charges were covered by Medicaid, 28% were covered by private insurance, and 5% were paid out of pocket (including uninsured). Asthma hospitalizations, like asthma ED visits, can largely be prevented with proper asthma control and management. Reducing hospitalizations, particularly among populations with the greatest disparity‐ black non‐Hispanic children, should also be a priority. Efforts for in‐patient care should mirror those recommended for out‐patient care and ensure those admitted to the hospital receive self‐management education, have...
Sample 1
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Hospitalizations. For any eligible person who applies for participation in the contractor’s plan, but who is hospitalized prior to the time coverage under the plan becomes effective, such coverage shall not commence until the date after such person is discharged from the hospital and DMAHS shall be liable for payment for the hospitalization, including any charges for readmission within forty-eight (48) hours of discharge for the same diagnosis. If an enrollee’s disenrollment or termination becomes effective during a hospitalization, the contractor shall be liable for hospitalization until the date such person is discharged from the hospital, including any charges for readmission within forty-eight (48) hours of discharge for the same diagnosis. The contractor must notify DMAHS of these occurrences to facilitate payment to appropriate providers. STATE OF NEW JERSEY SFY 2007 MANAGED CARE CAPITATION RATES AND MANAGED CARE SERVICES ADMINISTRATOR FEES ******REDACTED*****.
Sample 1
Hospitalizations. If a Metavante Employee is in a hospital or other ---------------- inpatient setting on the Distribution Date, the costs associated with such inpatient treatment shall be allocated between the M&I Health Plans and the Metavante Health Plans on a pro rata basis so that the M&I Health Plans bear the costs associated with such treatment for the number of days ending with the day prior to the Distribution Date and the Metavante Health Plans bear the cost associated with such treatment for the number of days beginning with the Distribution Date. The M&I Health Plans shall pay for such treatment and Metavante or the Metavante Health Plans shall reimburse the M&I Health Plans or the associated M&I VEBAs for that portion of the treatment which is its liability under this paragraph (b).
Sample 1

Related to Hospitalizations

  • Hospitalization In the event an employee is hospitalized overnight, the employee will have access to their EIB accrual at the first day of absence due to the hospitalization. Same day surgery, if requiring five (5) or more days of recovery, may also be paid from the employee’s EIB account.

  • Hospitalization Insurance The Employer shall provide: HOSPITALIZATION INSURANCE Effective as soon as is practical after September 1, 2011 or date of ratification, whichever is sooner. Community Blue PPO 4$2/25/50 Prescription Drug Rider Dental Plan 2 $ Mandatory Mail-Order for Maintenance Drugs $ On Mail-Order- Pay for 2 month supply, get 3 month supply $ Mandatory Generic Drugs$ $10 Office and Chiropractic Visit Employees Contribute $10 per Pay Period for spousal coverage. Effective the first pay period after 9/1/2011 or as soon as is practicable employees hired before 9/1/11 shall pay 5% of the illustrated rate for the health and dental coverage they select. Effective 1/1/2012 employees hired before 9/1/11 shall pay 10% of the illustrated rate for the health and dental coverage they select. Effective the first pay period after 9/1/2011 or as soon as is practicable, for employees hired on or after 9/1/11, employees shall contribute 20% of the illustrated rate for the coverage the employee selects.

  • Health and Hospitalization Insurance Single Coverage: The District shall contribute a sum not to exceed $8180 per year toward the premium for individual coverage for each full-time employee employed by the District who qualifies for and is enrolled in single cov- erage in the School District’s group health and hospitalization insurance plan. Any additional cost of the premium shall be borne by the employee and paid by payroll deduction.

  • Dental specific medications for dental purposes, including fluoride medications (except for children less than five years of age with a non-fluorinated water supply);

  • Health Examinations The Employer shall provide at no cost to the employee, such medical tests, health examinations and surveillance/monitoring as may be required as a condition of employment and/or as a result of regulated hazards encountered after employment.

  • Health Plans The health plans offered and benefits provided by those plans shall be those approved by the City's JLMBC and administered by the Personnel Department in accordance with LAAC Section 4.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Medical Examinations An employee may be required by the Employer, at the request of and at the expense of the Employer, to take a medical examination by a physician of the employee's choice. Employees may be required to take skin tests, x-ray examination, vaccination, inoculation and other immunization (with the exception of a rubella vaccination when the employee is of the opinion that a pregnancy is possible), unless the employee's physician has advised in writing that such a procedure may have an adverse affect on the employee's health.

  • Company Capitalization The Company has an authorized capitalization as set forth in the Prospectus; the outstanding shares of capital stock of the Company have been duly and validly authorized and issued and are fully paid and nonassessable.

  • Capitalization of the Company The authorized capital stock of the Company consists of 20,000,000 shares of Common Stock, par value $.001 per share, of which 10,000,000 shares will be outstanding at Closing, and 1,000,000 shares of preferred stock, none of which is outstanding. All outstanding shares are duly authorized, validly issued, fully paid and non-assessable.

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