Bundled Payments definition
Examples of Bundled Payments in a sentence
As of the date hereof, it is not billing for, and has no, Bundled Payments.
Bundled Payments (also known as Global Payment Bundles, episode-of-care payment, or global case rates) - An alternative payment method to reimburse healthcare providers for services that provides a single payment for all physician, hospital and ancillary services that a patient uses in the course of an overall treatment for a specific, defined condition, or care episode.
In situations where participating agreements allow for bulk settlement reconciliations for Episode- Based Payment (Bundled Payments), BCBSNE may include a factor for such settlement reconciliations as part of the fees BCBSNE charges to THE GROUP.
When determining the expenditures incurred by NGACO-aligned beneficiaries for purposes of financial reconciliation for a performance year, CMS will exclude Bundled Payments for Care Improvement (BPCI) initiative Net Payment Reconciliation Amounts only in those cases where including these BPCI Net Payment Reconciliation Amounts would be the sole reason that an ACO would incur shared losses or not qualify to receive shared savings.
The Bundled Payments shall be allocated among the Working Capital Adjustment Receivables, the Transfer Taxes Receivables and the 2015 TRA Receivables as determined by TDCC in its sole discretion, which such discretion shall be exercised in a manner that is not inconsistent with applicable Law.
Notwithstanding anything to the contrary set forth in the Tax Receivables Agreement, the Bundled Payments shall be in full satisfaction of the payment obligations of the Company and AgroFresh under Section 5 of the Tax Receivables Agreement with respect to the Covered Taxable Year (as defined in the Tax Receivables Agreement) ending December 31, 2015 (the “2015 TRA Receivables”) and the Company shall have no further liability with respect to any such obligations other than the Bundled Payments.
The Bundled Payments for Care Improvement and ACO programs are examples of such voluntary programs in which the hospital is expected to bear some risk and reform care delivery in order to reduce FFS payments while maintaining a certain standard of performance.
This initiative will not allow beneficiaries to “opt out” of the model payment methodology; that is, a beneficiary who meets the eligibility criteria specified in the model and receives care from a provider who is a Bundled Payments for Care Improvement awardee or Bundled Payment participating provider for a covered service or condition, cannot receive care from that provider without being subject to the Medicare payment methodology (and the related care processes of that provider) of this initiative.
These reports will address episode spending and key performance metrics on the Bundled Payments for Care Improvement Initiative and the Comprehensive Care for Joint Replacement model, tailored to specific geographic areas.
Notwithstanding anything to the contrary set forth in the Stock Purchase Agreement, the Bundled Payments shall be in full satisfaction of TDCC’s and the Company’s obligations under Section 2.4 of the Stock Purchase Agreement (the “Working Capital Adjustment Receivables”) and the Company shall have no further liability with respect to any such obligations other than the Bundled Payments.