Capitation Fees definition
Examples of Capitation Fees in a sentence
In no event shall the total aggregate amount payable to Group by Blue Shield pursuant to this Exhibit G-2 exceed thirty-five percent (35%) of the POS Capitation Fees paid to Group during such Agreement Year.
BSC-HMO shall deduct from IPA’s next month’s Capitation Fees those amounts which have been paid to IPA for ineligible or retroactively canceled persons for whom no Capitated Services were rendered or from whom IPA has collected fee for service charges.
LUCIE 22% 22% 20% 19% $100 $90 $80 $70 N/A N/A 105% of Prevailing Medicare Rates (EXCLUDES DADE & BROWARD) Month 1- 8 $25 PMPM ALL COUNTIES Month 9 thereafter $25 or $15 PMPM ALL COUNTIES Members 0-500 0% Members 501-1000 50% Members 1001 and Greater 100% $150 PM 00 PCP Capitation Fees, if applicable, will be reduced by 50% during any termination period pending final settlements of the Claims Fund.
Such amounts shall be retained by provider or Physician Group in addition to Capitation Fees.
BSC-HMO shall pay IPA for Benefits rendered to Members which are not included in the Capitation Fees at the rates set forth in Schedule D, reduced by any applicable Copayments.