SHARED SAVINGS PROGRAM Sample Clauses
The Shared Savings Program clause establishes a framework for distributing cost savings achieved through a project or initiative among participating parties. Typically, this clause outlines the method for calculating savings, the proportion each party receives, and the timing of payments. For example, if a contractor implements efficiency measures that reduce expenses, both the contractor and the client may share the resulting financial benefits according to a pre-agreed formula. The core function of this clause is to incentivize collaboration and efficiency by ensuring all parties benefit from successful cost-saving efforts.
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SHARED SAVINGS PROGRAM. As of the Effective Date the Medical and Hospital Service Contract is amended to include the following:
SHARED SAVINGS PROGRAM. For the service fee specified in Exhibit A, we may make our Shared Savings Program available to some or all of your Plan, when such discounts are available to us. The program provides access to discounted charges from health care providers which are made available to us for use with the Subscriber benefit plans that we administer on behalf of our customers.
SHARED SAVINGS PROGRAM. Application of the Shared Savings Program provides additional savings on select non-Network facility and physician claims not eligible for standard network discounts. Program provides access to discounted charges made available to United from health care providers who contract or will negotiate with, a third party to provide such discounted charges. The services under this program provide access to provider discounts only and do not include credentialing of providers or other Network services. United is not responsible for the medical outcomes or the quality or competence of any provider or facility rendering services under the Shared Savings Program. Either party can terminate the Shared Savings Program at any time for any reason with written notice. Facility Reasonable & Customary Charge Determination United can terminate the program in whole or in part at any Program. time for any reason This program provides for reduction of facility billed charges in accordance with appropriate guidelines. Access to Extended Networks (leased networks) Available at an additional charge. I. C ARE M AN AG EM EN T A ND O U T REAC H S E RVICE S Personal Health Support, an integrated personal health Coordination with external vendors is subject to an additional management program using a designated team of nurses and fee. incorporating elements of care management core activities such as case management and support around specific treatment decisions. A pregnancy program, consumer engagement notification program including gaps in care messaging, and a predictive model specific to Customer are also included. Medical policy functions, as guided by a medical director. Standard on all managed plans. Disease Management Programs (including asthma, Coordination with external vendors is subject to an additional coronary artery disease, congestive heart failure and diabetes) fee. • Cancer Resource Services • Congenital Heart Disease Resource Services • Healthy Pregnancy • Kidney Resource Services • Neonatal Resource Services Alternate Care Proposals (ACP) which provide appropriate and cost effective health care services and supplies alternatives that would otherwise not be covered by the Plan. Activation programs to engage Participants including, monthly health statements member call services, and access to member portal with consumer messaging Customer consents to United’s use and administration of the ACP program and delegate to United the discretion and authority to develop and re...
SHARED SAVINGS PROGRAM. Seller, directly or through ------------------------------------- an appropriate affiliate, agrees in good faith to continue the current Shared Savings Program ("SSP") business utilizing the services and products of the Company, subject to the fee arrangement established by Seller and Company. This fee arrangement consists of a fee equaling XX% of savings for claims accessing a Company discount through any of the Company's direct contracts or any of the Company's leased affiliate contracts, except for the Multiplan, Inc. network. For claims accessing a discount through the Company's agreement with Multiplan, the fee will be calculated as the prevailing Multiplan rate to the Company plus X percentage points. If the rate between Multiplan and the Company is renegotiated, Seller's rate with the Company would automatically be adjusted to reflect that change. Seller would participate on a prorata share in any retroactive rate credits given by Multiplan to the Company.
SHARED SAVINGS PROGRAM. 19 SECTION 5.14 Agreement Not to Compete........................ 20