Quality Incentive Program Sample Clauses
The Quality Incentive Program clause establishes a system where performance-based rewards or penalties are tied to the quality of goods or services provided under the contract. Typically, this clause outlines specific quality metrics or benchmarks that must be met, and details how bonuses or deductions will be calculated based on the supplier’s performance against these standards. Its core function is to motivate the contractor to maintain or exceed agreed-upon quality levels, thereby reducing the risk of subpar deliverables and aligning the supplier’s interests with those of the client.
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Quality Incentive Program. 12.5.1 The Contractor shall establish and implement a Quality Incentive Program as a mechanism to improve the quality of services provided to Enrollees. The Quality Incentive Program shall be based on a work plan to be submitted to ASES by the Contractor as part of its QAPI program, pursuant to Attachment 12 of this Contract. The Contractor shall implement the Quality Incentive Program within thirty (30) Calendar Days of its approval by ASES.
12.5.2 The Quality Incentive Program shall consist of three (3) categories of performance indicators: performance measures, preventive clinical program measures and ER Utilization measures. ASES will Withhold a total of five percent (5%) of the amount budgeted within the Contractor’s Administrative Fee for the administration of the Quality Incentive Program (hereinafter the “Retention Fund”), which budgeted amount is specified in Attachment 11 of this Contract, and will reimburse the Contractor according to compliance with each of the categories of performance indicators in this Section 12.5.
12.5.3 The Contractor shall, within thirty (30) Calendar Days after the end of each calendar quarter, submit a quarterly report for each of the performance indicators to be evaluated by ASES. For each measure, ASES shall, within thirty (30) Calendar Days after receipt of the Contractor’s quarterly report, make a determination whether the Contractor has met the applicable performance objectives for the quarter. In addition, the Contractor shall submit an annual report within thirty (30) Calendar Days after the end of the year for which the performance is measured. If the Contractor is then in compliance with the applicable performance targets or portions thereof for said period, ASES shall then release to the Contractor, no later than thirty (30) Calendar Days after ASES determines compliance with the performance objectives, the portion of the Retention Fund associated with each measure for such period, or the portion corresponding to the percentage of compliance with each such indicator, as the case may be.
12.5.4 The following is a description of each of the three categories of performance indicators and the associated reimbursement level for each.
Quality Incentive Program. In addition to compensation from CMS, Participating Provider and its Providers, shall also be eligible to participate in a shared savings pool created and distributed by ACO, which shall be distributed based on Participating Provider satisfying certain quality and administrative targets, which shall contemplate evidence-based clinical guidelines, for these MSSP Beneficiaries, which shall be set annually by ACO.
Quality Incentive Program is hereby added, attached hereto and incorporated herein by this reference.
Quality Incentive Program