Loss scenario. If the medical component of the Capitation Rate Payment as set forth in Section 4.6.C.2 is less than Actual Medical Expenditures as set forth in Section 4.7.C.3, then the Contractor will be in a “Loss for the Contract Year”, with the “Gross Loss Amount for the Contract Year” defined as the difference between the Medical Component of the Capitation Rate Payment and the Actual Medical Expenditures. The Contractor and EOHHS will share the Gross Loss Amount for the Contract Year as set forth below:
Appears in 9 contracts
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