Payer Contracts Sample Clauses

Payer Contracts. Hospital and Hythiam each will use best efforts to identify opportunities to include reimbursement for treatment utilizing the Licensed Technology in, and will use commercially reasonable efforts to negotiate amendments to, Hospital's existing payer contracts (and to identify prospects and negotiate all future payer contracts) to arrange for inclusion of coverage for treatment utilizing the Licensed Technology, including contracts with HMOs, PPOs, other managed care companies, insurers, employers, unions, employee assistance programs or vendors, behavioral health programs or vendors, or other third-party payers.

Payer Contracts. (a) With the exception of the MSSP, each Payer Contract approved by the Board (including any substantial modification and/or renewal of a Payer Contract previously approved by the Board) shall be presented to Practice, along with all relevant documentation and information, to allow Practice to evaluate Providers’ capacity and capability to perform its duties and responsibilities under the Payer Contract. Practice may opt out of a particular Payer Contract (or renewal thereof) by providing FCHA a written notice within thirty (30) days’ of receiving notice of the Board’s approval of that Payer Contract. The Board shall issue reasonably prompt notices of its approval of any Payer Contract to the Practice, so as to not unreasonably delay or hinder Practice’s consideration of whether it will opt out of a Payer Contract. If Practice has not provided such notice within such ten (10)-day period, Practice will be deemed to be bound to that Payer Contract as presented. (b) Practice shall adhere to the applicable terms and conditions of each and every Payer Contract for which Practice has not opted out. Practice shall execute and return in a timely manner any and all documents presented by FCHA necessary for participation in a Payer Contract. To the extent Practice has any question or concern regarding any term or provision of a Payer Contract, Practice shall consult with FCHA regarding such provision. (c) Practice acknowledges that: (i) FCHA does not guarantee FCHA will enter into any Payer Contract in which Practice will be eligible to participate. (ii) FCHA shall not be liable to Practice or any Provider for a Payer’s performance or non-performance of a Payer Contract. (iii) FCHA’s duty to make payment to Practice and/or Providers under any Payer Contract shall be contingent on FCHA’s prior receipt of payment from the Payer.

Payer Contracts. 3.8.1 Each Payer Contract approved by CCPN through its Board of Managers and Members, including any substantial modification and/or renewal of a Payer Contract previously approved, shall be presented to Practice, along with all relevant documentation and information, to allow Practice thirty 3.8.2 Subject to and upon reconfirmation in each case that Network is “clinically integrated” pursuant to the standards established by the Department of Justice and the Federal Trade Commission, in order to control costs and ensure quality, and that joint agreement concerning price or other terms is reasonably necessary to accomplish the procompetitive benefits of the integration, then CCPN shall make reasonable efforts to negotiate, enter into, and present to Network Participants for their consideration, Payer Contracts on terms generally acceptable to Network Participants. In negotiating Payer Contracts (including any renewal or amendment of an existing Payer Contract), CCPN shall not have the apparent or actual authority to bind any Network Participant to any contractual obligation prior to the presentation and opportunity to opt out specified in Section 3.8.

Payer Contracts. (a) FCHA shall make reasonable efforts to negotiate, enter into, and present to CIN Members for their consideration Payer Contracts on terms generally acceptable to CIN Members. In negotiating Payer Contracts (including any renewal or amendment of an existing Payer Contract), FCHA shall not have the apparent or actual authority to bind any CIN Member to any contractual obligation prior to the presentation and opportunity to opt out specified in Section 2.4 above. Each Payer Contract and each amendment to an existing Payer Contract shall be subject to the prior approval of the Board. To the fullest extent possible, FCHA shall not agree to a term in any Payer Contract that places one category of CIN Member at a significant disadvantage as compared to another category of CIN Member. (b) FCHA shall compile and submit CIN Member performance data as required under any Payer Contract, subject to Practice making available relevant information in a timely manner. (c) FCHA shall distribute any and all revenue received by FCHA under any Payer Contract only in a manner approved by the Board. (d) In negotiating and contracting with Payers and in the performance of Payer Contracts, FCHA shall make best efforts not to engage in any conduct that may potentially violate state and federal antitrust laws. FCHA shall not condone, encourage, or facilitate any form of anticompetitive behavior on the part of any CIN Member.

Payer Contracts. Rite Aid will use commercially reasonable efforts to assist ▇▇▇▇▇▇▇▇▇.▇▇▇ in obtaining provider numbers from payers engaged in the business of establishing and administering networks of pharmacies at which prescriptions for Pharmaceutical Products may be filled for individuals whose prescriptions are paid for by insurers, health plans and other Third Parties.

Payer Contracts