Common use of Incentive Program Withhold Clause in Contracts

Incentive Program Withhold. PacifiCare shall establish withholds from Medical Group’s monthly Capitation Payment for purposes of offsetting potential deficits for the combined incentive programs administered by PacifiCare, excluding the Commercial Hospital Incentive Program and the Secure Horizons Hospital Incentive Program for which separate withholds may be established. The monthly incentive withhold shall be two dollars and ninety-five cents ($2.95) per Member per month for the PacifiCare Commercial Health Plan. PacifiCare, in its sole discretion, shall prospectively adjust the withhold based on Medical Group’s experience under the combined incentive programs at the time of the program settlements described below. The monthly incentive withhold shall not exceed the amount referenced above in this paragraph.

Incentive Program Withhold. PacifiCare shall establish withholds from Medical Group’s monthly Capitation Payment for purposes of offsetting potential deficits for the combined incentive programs administered by PacifiCare, excluding the Commercial Hospital Incentive Program and the Secure Horizons Hospital Incentive Program for which separate withholds may be established. The monthly incentive withhold shall initially be two dollars and ninety-five cents One Dollar ($2.951.00) per Member per month of the Standard Service Capitation Amount for the PacifiCare Commercial Health Plan and five percent (5%) per Member per month for the PacifiCare Commercial Secure Horizons Health Plan. PacifiCare, in its sole discretion, shall prospectively adjust the withhold based on Medical Group’s experience under the combined incentive programs at the time of the program settlements described below. The monthly incentive withhold shall not exceed the amount referenced above in this paragraph.

Incentive Program Withhold. PacifiCare shall establish withholds from Medical Group’s monthly Capitation Payment for purposes of offsetting potential deficits for the combined incentive programs administered by PacifiCare, excluding the Commercial Hospital Incentive Program and the Secure Horizons Hospital Incentive Program for which separate withholds may be established. The monthly incentive withhold shall be two dollars and ninetyforty-five cents ($2.952.45) per Member per month for the PacifiCare Commercial Health Plan. PacifiCare, in its sole discretion, shall prospectively adjust the withhold based on Medical Group’s experience under the combined incentive programs at the time of the program settlements described below. The monthly incentive withhold shall not exceed the amount referenced above in this paragraph.