Trend. Trend is an estimate of the change in the cost of providing a specific set of benefits over time, resulting from both unit cost (price and service mix) and utilization changes. Trend factors are used to estimate the cost of providing services in some future year (contract year) based on the cost incurred in a prior period (base period). Xxxxxx considered several information sources to develop the appropriate trend factors to use in the State’s rates. Several years of ABD <21 data by COS and the resulting trends were analyzed. This FFS data was a primary trend source. ABD <21 state fiscal year 2014 managed care data and six-month trends were also reviewed. Other sources, such as regional and national economic indicators and indices, provide broad perspectives of industry trends in the United States, the Midwest region, and the State. Examples of specific resources reviewed include the Department of Labor Consumer Price Index (local, regional, and national) data, federal reports and projections (for example, National Health Expenditures), and other health care industry reports (for example, Health Care Cost Institute). Xxxxxx’x proprietary information about other state Medicaid programs provides additional information about Medicaid patterns of care and how they affect trends. As part of the above, information regarding drugs that are moving off patent and those being introduced to the market is also used to inform the pharmacy trends. ENCLOSURE 4 Adjustments to Reflect an Efficient Managed Care Environment In addition to projecting the data forward (described in Enclosure 3), adjustments were made to reflect an efficient managed care environment. These adjustments are described within this section and are summarized below: • Managed Care Adjustments. • Provider Pricing Targets. • Care Coordination Expenses and Non-Claim Expense Load. • MCP/Hospital Incentive. • Applicable Taxes. • Affordable Care Act (ACA) Section 9010. • Pay for Performance. Managed Care Adjustments In alignment with ODM’s objective of purchasing more effective, efficient, and innovative health care, as well as actuarial rate setting assumptions moving from Medicaid FFS to managed care, Xxxxxx applied utilization and unit cost adjustments by COS. For unit cost adjustments, information from MCP surveys was also considered (see the Provider Pricing Targets section).
Trend. Lines or any Subsidiary shall: (i) file a voluntary petition in bankruptcy or file a voluntary petition or an answer or otherwise commence any action or proceeding seeking reorganization, arrangement or readjustment of its debts or for any other relief under the Federal Bankruptcy Code, as amended, or under any other bankruptcy or insolvency act or law, state or federal, now or hereafter existing, or consent to, approve of, or acquiesce in, any such petition, action or proceeding; (ii) apply for or acquiesce in the appointment of a receiver, assignee, liquidator, sequestrator, custodian, trustee or similar officer for it or for all or any part of its Property; (iii) make an assignment for the benefit of creditors; or (iv) be unable generally to pay its debts as they become due;
Trend. Lines has delivered to the Lender the audited balance sheet and related statements of income, retained earnings, changes in financial position, and changes in stockholders equity for Trend-Lines as of March 2, 1996 and for the Fiscal Year then ended, accompanied by the report thereon of Trend-Lines' independent certified public accountants, Xxxxxx Xxxxxxxx LLP. Trend-Lines has also delivered to the Lender the unaudited balance sheet and related statements of income and changes in financial position for Trend-Lines, as at [May 31,] 1996 and for the three months then ended. Such financial statements are attached hereto as Exhibit B-4. All such financial statements have been prepared in ----------- accordance with GAAP and present accurately and fairly Trend-Lines' financial position as at the dates thereof and its results of operations for the periods then ended.
Trend adjusted Trend adjusted means adjustments will be made to figures as may be necessary to provide for the trend of the business and for variations in or circumstances affecting the business either before or after the damage or which would have affected the business had the damage not occurred, so that the figures thus adjusted will represent as nearly as may be reasonably practicable the results which but for the damage would have been obtained during the relative period after the damage.
Trend. Trend is an estimate of the change in the overall cost of medical services over a finite period of time. A trend factor is necessary to estimate the expenses of providing health care services in a future time period. As part of the TCOC development process, unit cost and utilization trend factors by RC, region, and service category will be developed. The primary data sources used in trend development will consist of ACO-eligible members’ eligibility records, PCC Plan claims, and BHP encounter data for PCC and BHP covered services. The data reflects a variety of influences, including potential changes in medical management practices, network construction, and population risk. Some of these influences may be accounted for in other aspects of rate setting, such as program changes, and, as such, the data must be considered within the broader context of other assumptions. Any services excluded from TCOC will also be excluded from the trend development. Program changes MassHealth will account for program changes occurring between the base and performance periods that are expected to affect the TCOC. Data will be adjusted for any known programmatic, benefit, fee, population changes occurring between the base period and the performance period.
Trend. Trend is an estimate of the change in the cost of providing a specific set of benefits over time, resulting from both unit cost (price and service mix) and utilization changes. Trend factors are used to estimate the cost of providing services in some future year (contract year) based on the cost incurred in a prior period (base period). Prospective Program Changes ODM and Xxxxxx reviewed the program changes that could have a material effect upon the cost, utilization, or demographic structure of the program prior to or during the contract period, whose effect was not included within the base data. Several changes were evaluated for their impact on the CY 2014 rates.
Trend. Trend is an estimate of the change in the cost of providing a specific set of benefits over time, resulting from both unit cost (price and service mix) and utilization changes. Trend factors are used to estimate the cost of providing services in some future year (contract year) based on the cost incurred in a prior period (base period). Xxxxxx considered several information sources to develop appropriate trend factors to use in the Ohio rates. Several years of ABD Children data by COS and the resulting trends were analyzed. This FFS data was the primary trend source. Other sources, such as regional and national economic indicators and indices, provide broad perspectives of industry trends in the United States and in the Midwest region. Examples of specific resources reviewed include the Department of Labor Consumer Price Index (local, regional, and national) data, federal reports and projections (e.g., National Health Expenditures), and other healthcare industry reports (e.g., Health Care Cost Institute). Xxxxxx’x proprietary information about other state Medicaid programs provides additional information about Medicaid patterns of care and how those affect trends. Prospective Program Changes ODM and Xxxxxx reviewed the program changes that could have a material effect upon the cost, utilization, or demographic structure of the program prior to, or during, the contract period whose effect was not included within the base data. Several changes were evaluated for their impact on the CY 2014 rates.
Trend. Lines shall cease to own 100% of the voting stock of Post Tool or any person other than Xxxxxxx Xxxxx, Xxxxxx X. Xxxxx, his spouse, and his or her respective Affiliates shall own more than 50% of the voting stock of Trend-Lines or have the power to control (such term having the meaning given to it in the definition of Affiliate herein) the Board of Directors of Trend-Lines.
Trend. Lines shall, at the Agent's request and Trend-Lines' expense: (a) cause an independent environmental engineer acceptable to the Agent to conduct such tests of the site where Trend-Lines' noncompliance or alleged noncompliance with Environmental Laws has occurred and prepare and deliver to the Agent a report setting forth the results of such tests, a proposed plan for responding to any environmental problems described therein, and an estimate of the costs thereof; and (b) provide to the Agent a supplemental report of such engineer whenever the scope of the environmental problems, or Trend-Lines' response thereto or the estimated costs thereof, shall change.
Trend. A Trend is the vehicle used to document changes in the project forecast for the purpose of incorporating those changes into the project EAC. Contractor is responsible for submitting projected changes to ETC/EAC using the trend process. Work Breakdown Structure (WBS). The Work Breakdown Structure is a deliverable-oriented hierarchical structure that breaks Contractor Scope into activities that can be scheduled, estimated, monitored, and controlled. For Contractor scope, the WBS will be planned, reported and monitored as set forth in Exhibit C. Exhibit D G & A Payment Schedule G&A Costs will be budgeted monthly on a pro rata basis of expected B&W seconded labor to be charged in each month. That is, the B&W seconded labor portion of the aggregate monthly BCWS recorded in the PMB. The monthly budgeted amounts for Stage 1 and Stage 2 combined must total *****. The G&A payments will be recorded as a separate cost element to facilitate tracking to the agreed fixed total amounts. The monthly payment schedule is shown in the following two tables. Stage 1 Monthly G&A Payment Schedule Month Monthly G&A Payment ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** Exhibit D G & A Payment Schedule Stage 2 Monthly G&A Payment Schedule Month Monthly G&A Payment Month Monthly G&A Payment ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** ***** Exhibit E Fixed Fee Calculation and Payment The Fixed Fee will be budgeted monthly on a pro rata basis of all...
