Common use of Shared Savings Clause in Contracts

Shared Savings. Provider acknowledges and agrees that Shared Savings, if any, received from CMS will be based on the performance of the DCE as a whole and not on individual providers. In the event Shared Savings are achieved or shared losses incurred, such Shared Savings or Shared Losses will be distributed pursuant to an objective methodology adopted by the DCE’s Governing Body EXHIBIT E COMPENSATION Compensation for Primary Care Services from DCE XXX has elected to participate in the Primary Care Capitation Payment Mechanism under the Direct Contracting Model. In connection with DCE’s participation therein, and in accordance with the form of Direct Contracting Model: Fee Reduction Agreement attached hereto as Exhibit F, Provider shall, and shall require its Practice Providers to, accept as payment in full for its provision of health care services and laboratory services customarily furnished by or through a Primary Care Specialist and specifically those CPT/HCPC codes specified by CMS in advance of January 1, 2022 (“Primary Care Services”), payments from DCE in accordance with the rates set forth in Table 1 below. For purposes of this section, a Primary Care Specialist is defined to mean a physician or non- physician practitioner (“NPP”) who has a primary specialty in primary care, such as general practice (CMS Specialty Code: 1), family medicine (CMS Specialty Code: 8), internal medicine (CMS Specialty Code: 11), pediatric medicine (CMS Specialty Code: 37), geriatric medicine (CMS Specialty Code: 38), nurse practitioner (CMS Specialty Code: 50), clinical nurse specialist (CMS Specialty Code: 89), or physician assistant (CMS Specialty Code: 97). CMS will specify a list of CMS specialty codes for Primary Care Specialists prior to the start of the relevant Performance Year. Therefore, this list may be subject to change. TABLE 1 CPT/HCPC Code Description Rate (Percentage of CMS Medicare physician fee schedule) 96160-96161 Administration of HRA 110% 99202-99205 Outpatient Visit New 110% 99211-99215 Outpatient Visit Established 110% 99339-99340 Home Care Plan Oversight Services 110% 99354-99355 Prolonged Care 110% 99495-99496 Transitional Care Mgmt. 110% 99324-99328,99334-99337,99339-99345,99347-99350 Home Care E&M 110% 99421-99423,99441-99443 Telephone Visits (Audio Only) 110% 99497-99498 Advanced Care Planning 110% G0402, G0438, G0439 Welcome to Medicare & AWV 110% 99487, 99489,99490, G0506 Chronic Care Mgmt. 110% G2010-G2012 Virtual Check-ins 110% 99484, 99492,99493, 99494 Behavioral Health Integration Services 110% G0442-G0444 Depression & Alcohol Misuse 110% G0463 Professional Services Provided in Electing Teaching Amendment Hospitals 110% 99304-99318 Professional Services Provided in a Non-Skilled Nursing Facility 110% In the event DCE determines Provider has failed to (i) adhere to the Provider Performance Standards set forth in Exhibit D; (ii) perform the quality improvement activities set forth in Exhibit G; or (iii) meet the care coordination criteria set forth in Exhibit H, DCE may reduce the compensation that it pays to Provider for Primary Care Services from 110 percent of the applicable Medicare Physician Fee Schedule rate to 100 percent of the applicable Medicare Physician Fee Schedule rate; provided, however, that DCE will provide Provider with 30 calendar days prior notice, at which time Provider will have 30 calendar days to propose and begin to engage in a corrective action plan. Compensation for Non-Primary Care Services from CMS

Shared Savings. Provider acknowledges and agrees that Shared Savings, if any, received from CMS will be based on the performance of the DCE as a whole and not on individual providers. In the event Shared Savings are achieved or shared losses incurred, such Shared Savings or Shared Losses will be distributed pursuant to an objective methodology adopted by the DCE’s Governing Body EXHIBIT E COMPENSATION Compensation for Primary Care Services from DCE XXX NOT FOR EXECUTION DCE has elected to participate in the Primary Care Capitation Payment Mechanism under the Direct Contracting Model. In connection with DCE’s participation therein, and in accordance with the form of Direct Contracting Model: Fee Reduction Agreement attached hereto as Exhibit F, Provider shall, and shall require its Practice Providers to, accept as payment in full for its provision of health care services and laboratory services customarily furnished by or through a Primary Care Specialist and specifically those CPT/HCPC codes specified by CMS in advance of January 1, 2022 (“Primary Care Services”), payments from DCE in accordance with the rates set forth in Table 1 below. For purposes of this section, a Primary Care Specialist is defined to mean a physician or non- physician practitioner (“NPP”) who has a primary specialty in primary care, such as general practice (CMS Specialty Code: 1), family medicine (CMS Specialty Code: 8), internal medicine (CMS Specialty Code: 11), pediatric medicine (CMS Specialty Code: 37), geriatric medicine (CMS Specialty Code: 38), nurse practitioner (CMS Specialty Code: 50), clinical nurse specialist (CMS Specialty Code: 89), or physician assistant (CMS Specialty Code: 97). CMS will specify a list of CMS specialty codes for Primary Care Specialists prior to the start of the relevant Performance Year. Therefore, this list may be subject to change. TABLE 1 CPT/HCPC Code Description Rate (Percentage of CMS Medicare physician fee schedule) 96160-96161 Administration of HRA 110% 9920299201-99205 Outpatient Visit New 110% 99211-99215 Outpatient Visit Established 110% 99339-99340 Home Care Plan Oversight Services 110% 99354-99355 Prolonged Care 110% 99495-99496 Transitional Care Mgmt. 110% 99324-99328,99334-99337,99339-99345,99347-99350 Home Care E&M 110% 99421-99423,99441-99443 Telephone Visits (Audio Only) 110% 99497-99498 Advanced Care Planning 110% G0402, G0438, G0439 G0438,G0439 Welcome to Medicare & AWV 110% 99487, 99489,99490, G0506 Chronic Care Mgmt. 110% G2010-G2012 Virtual Check-ins 110% 99484, 99492,99493, 99494 Behavioral Health Integration Services 110% G0442-G0444 Depression & Alcohol Misuse 110% G0463 Professional Services Provided in Electing Teaching Amendment Hospitals 110% 99304-99318 Professional Services Provided in a Non-Skilled Nursing Facility 110% For all Primary Care Services not listed in Table 1 above, DCE shall pay Provider an amount equal to 100 percent of the applicable Medicare Physician Fee Schedule rate. NOT FOR EXECUTION In the event DCE determines Provider has failed to (i) adhere to the Provider Performance Standards set forth in Exhibit D; (ii) perform the quality improvement activities set forth in Exhibit G; or (iii) meet the care coordination criteria set forth in Exhibit H, DCE may reduce the compensation that it pays to Provider for Primary Care Services from 110 percent of the applicable Medicare Physician Fee Schedule rate to 100 percent of the applicable Medicare Physician Fee Schedule rate; provided, however, that DCE will provide Provider with 30 calendar days prior notice, at which time Provider will have 30 calendar days to propose and begin to engage in a corrective action plan. Compensation for Non-Primary Care Services from CMS

Shared Savings. Provider acknowledges and agrees that Shared Savings, if any, received from CMS will be based on the performance of the DCE as a whole and not on individual providers. In the event Shared Savings are achieved or shared losses incurred, such Shared Savings or Shared Losses will be distributed pursuant to an objective methodology adopted by the DCE’s Governing Body EXHIBIT E COMPENSATION Compensation for Primary Care Services from DCE XXX DCE has elected to participate in the Primary Care Capitation Payment Mechanism under the Direct Contracting Model. In connection with DCE’s participation therein, and in accordance with the form of Direct Contracting Model: Fee Reduction Agreement attached hereto as Exhibit F, Provider shall, and shall require its Practice Providers to, accept as payment in full for its provision of health care services and laboratory services customarily furnished by or through a Primary Care Specialist and specifically those CPT/HCPC codes specified by CMS in advance of January 1, 2022 (“Primary Care Services”), payments from DCE in accordance with the rates set forth in Table 1 below. For purposes of this section, a Primary Care Specialist is defined to mean a physician or non- physician practitioner (“NPP”) who has a primary specialty in primary care, such as general practice (CMS Specialty Code: 1), family medicine (CMS Specialty Code: 8), internal medicine (CMS Specialty Code: 11), pediatric medicine (CMS Specialty Code: 37), geriatric medicine (CMS Specialty Code: 38), nurse practitioner (CMS Specialty Code: 50), clinical nurse specialist (CMS Specialty Code: 89), or physician assistant (CMS Specialty Code: 97). CMS will specify a list of CMS specialty codes for Primary Care Specialists prior to the start of the relevant Performance Year. Therefore, this list may be subject to change. TABLE 1 CPT/HCPC Code Description Rate (Percentage of CMS Medicare physician fee schedule) 96160-96161 Administration of HRA 110% 9920299201-99205 Outpatient Visit New 110% 99211-99215 Outpatient Visit Established 110% 99339-99340 Home Care Plan Oversight Services 110% 99354-99355 Prolonged Care 110% 99495-99496 Transitional Care Mgmt. 110% 99324-99328,99334-99337,99339-99345,99347-99350 Home Care E&M 110% 99421-99423,99441-99443 Telephone Visits (Audio Only) 110% 99497-99498 Advanced Care Planning 110% G0402, G0438, G0439 Welcome to Medicare & AWV 110% 99487, 99489,99490, G0506 Chronic Care Mgmt. 110% G2010-G2012 Virtual Check-ins 110% 99484, 99492,99493, 99494 Behavioral Health Integration Services 110% G0442-G0444 Depression & Alcohol Misuse 110% G0463 Professional Services Provided in Electing Teaching Amendment Hospitals 110% 99304-99318 Professional Services Provided in a Non-Skilled Nursing Facility 110% In the event DCE determines Provider has failed to (i) adhere to the Provider Performance Standards set forth in Exhibit D; (ii) perform the quality improvement activities set forth in Exhibit G; or (iii) meet the care coordination criteria set forth in Exhibit H, DCE may reduce the compensation that it pays to Provider for Primary Care Services from 110 percent of the applicable Medicare Physician Fee Schedule rate to 100 percent of the applicable Medicare Physician Fee Schedule rate; provided, however, that DCE will provide Provider with 30 calendar days prior notice, at which time Provider will have 30 calendar days to propose and begin to engage in a corrective action plan. Compensation for Non-Primary Care Services from CMS

Shared Savings. Provider acknowledges and agrees that Shared Savings, if any, received from CMS will be based on the performance of the DCE as a whole and not on individual providers. In the event Shared Savings are achieved or shared losses incurred, such Shared Savings or Shared Losses will be distributed pursuant to an objective methodology adopted by the DCE’s Governing Body EXHIBIT E COMPENSATION Compensation for Primary Care Services from DCE XXX has elected to participate in the Primary Care Capitation Payment Mechanism under the Direct Contracting Model. In connection with DCE’s participation therein, and in accordance with the form of Direct Contracting Model: Fee Reduction Agreement attached hereto as Exhibit F, Provider shall, and shall require its Practice Providers to, accept as payment in full for its provision of health care services and laboratory services customarily furnished by or through a Primary Care Specialist and specifically those CPT/HCPC codes specified by CMS in advance of January 1, 2022 (“Primary Care Services”), payments from DCE in accordance with the rates set forth in Table 1 below. For purposes of this section, a Primary Care Specialist is defined to mean a physician or non- physician practitioner (“NPP”) who has a primary specialty in primary care, such as general practice (CMS Specialty Code: 1), family medicine (CMS Specialty Code: 8), internal medicine (CMS Specialty Code: 11), pediatric medicine (CMS Specialty Code: 37), geriatric medicine (CMS Specialty Code: 38), nurse practitioner (CMS Specialty Code: 50), clinical nurse specialist (CMS Specialty Code: 89), or physician assistant (CMS Specialty Code: 97). CMS will specify a list of CMS specialty codes for Primary Care Specialists prior to the start of the relevant Performance Year. Therefore, this list may be subject to change. TABLE 1 CPT/HCPC Code Description Rate (Percentage of CMS Medicare physician fee schedule) 96160-96161 Administration of HRA 110% 9920299201-99205 Outpatient Visit New 110% 99211-99215 Outpatient Visit Established 110% 99339-99340 Home Care Plan Oversight Services 110% 99354-99355 Prolonged Care 110% 99495-99496 Transitional Care Mgmt. 110% 99324-99328,99334-99337,99339-99345,99347-99350 Home Care E&M 110% 99421-99423,99441-99443 Telephone Visits (Audio Only) 110% 99497-99498 Advanced Care Planning 110% G0402, G0438, G0439 Welcome to Medicare & AWV 110% 99487, 99489,99490, G0506 Chronic Care Mgmt. 110% G2010-G2012 Virtual Check-ins 110% 99484, 99492,99493, 99494 Behavioral Health Integration Services 110% G0442-G0444 Depression & Alcohol Misuse 110% G0463 Professional Services Provided in Electing Teaching Amendment Hospitals 110% 99304-99318 Professional Services Provided in a Non-Skilled Nursing Facility 110% In the event DCE determines Provider has failed to (i) adhere to the Provider Performance Standards set forth in Exhibit D; (ii) perform the quality improvement activities set forth in Exhibit G; or (iii) meet the care coordination criteria set forth in Exhibit H, DCE may reduce the compensation that it pays to Provider for Primary Care Services from 110 percent of the applicable Medicare Physician Fee Schedule rate to 100 percent of the applicable Medicare Physician Fee Schedule rate; provided, however, that DCE will provide Provider with 30 calendar days prior notice, at which time Provider will have 30 calendar days to propose and begin to engage in a corrective action plan. Compensation for Non-Primary Care Services from CMS