Capitation Revenues definition

Capitation Revenues means all collections from managed care organizations or third-party payors where such payment is made periodically on a per member basis for the partial or total needs of a subscribing patient, less amounts that are payable to other providers of health care items and services to capitation patients. Capitation Revenues shall include any co-payments and incentive bonuses received as a result of a capitation plan.
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Capitation Revenues means all payments from managed care organizations, where payment is made periodically on a per member basis for the partial or total medical care needs of a patient, co-payments and all HMO incentive bonuses.
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Capitation Revenues means all payments from Managed Care Payors under contracts pursuant to which payments are made periodically on a per member basis for the partial or total medical care needs of a patient, including, but not limited to, (i) co-payments, (ii) incentive payments or bonuses, and (iii) any other compensation under such agreements; provided, however, that Capitation Revenues shall not include that portion of the revenues from Managed Care Payors which is paid by MCP or any of its Affiliates to contracted providers of care, including, but not limited to hospitals, specialists (who are not Physician Members) and home care providers.
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Examples of Capitation Revenues in a sentence

  • Capitation Revenues shall include any co-payments and incentive bonuses received as a result of a capitation plan.

  • The term "Capitation Revenues" shall mean all collections from managed care organizations or third-party payors where such payment is made periodically on a per member basis for the partial or total needs of a subscribing patient, less amounts that are payable to other providers of health care items and services to capitation patients.

  • The portion of payments --------------------------------- designated for physicians, optometrists or other medical or optometric services that will be Subcontractor Costs (e.g., reinsurance, hospitalization, surgical facility fees, optical dispensary services, etc.), including incentive bonuses or penalties, and an estimate for incurred but not reported claims; Subcontractor Capitation Revenues shall not be Professional Services Revenues.

  • The term "Capitation Revenues" shall mean -------------------- all collections from managed care organizations or third-party payors where such payment is made periodically on a per member basis for the partial or total needs of a subscribing patient, less amounts that are payable to other providers of health care items and services to capitation patients.

  • The term "Ancillary Revenue" shall mean all other revenue actually recorded each month (net of Adjustments) that is not Professional Services Revenues or Capitation Revenues consisting only of prepaid amounts for services previously billed and collected, and shall include (a) any amounts received by PC as liquidated damages under Section 4.2 or Section 4.3 of any Dentist's employment agreement, and (b) the proceeds of key person life and disability insurance as provided for in Section 4.14 below.

  • The term "Capitation Revenues" shall mean all collections from managed care organizations or third party payors where such payment is made periodically on a per member basis for the partial or total dental needs of a subscribing patient.