Common use of Stratification Clause in Contracts

Stratification. Based upon an analysis of the information gathered through the process in Section 2.6.1, the Contractor shall stratify all Enrollees identified for its Care Management program to determine the appropriate level of intervention. Enrollees shall be assigned to one (1) of three (3) levels: 2.6.2.1 Low or no risk – The Contractor provides prevention and Wellness messaging and condition-specific education materials. 2.6.2.2 Moderate risk – The Contractor provides problem-solving interventions. Contractor shall assign no less than twenty percent (20%) of its Enrollees to moderate risk and high risk levels combined. 2.6.2.3 High risk – The Contractor provides intensive Care Management for reasons such as ameliorating past ineffective health care or addressing lack of social support. The Contractor shall assign no less than five percent (5%) of its Enrollees to this level.

Stratification. Based upon an analysis of the information gathered through the process in Section 2.6.15.14.1, the Contractor shall stratify all Enrollees identified for its Care Management program Program to determine the appropriate level of intervention. Enrollees shall be assigned to one (1) of three (3) levels: 2.6.2.1 5.14.2.1 Low or no risk – The Contractor provides prevention and Wellness wellness messaging and condition-specific education materials. 2.6.2.2 5.14.2.2 Moderate risk – The Contractor provides problem-solving interventions. Contractor shall assign no less than twenty percent (20%) of its Enrollees to moderate risk and high risk levels combined. 2.6.2.3 5.14.2.3 High risk – The Contractor provides intensive Care Management for reasons such as ameliorating past ineffective health care or addressing lack of social support. The Contractor shall assign no less than five percent (5%) of its Enrollees to this level.