Care Model definition

Care Model. A comprehensive approach developed and implemented by Contractor and Participating Providers to support Attributed Members with integrated care and coordinated services. The Care Model emphasizes screening and risk stratification of all Attributed Members; prevention, improvement, self- management, and coordinated treatment of disease; tailored interventions based on the level of risk; and effective team-based care.
View Source
Care Model has the meaning set forth in the Recitals and shall include the Care Model as amended or modified.
View Source

Examples of Care Model in a sentence

  • State that participation in the Model may preclude the individual or entity from participating in the Medicare Shared Savings Program, another REACH ACO in the Model, the Vermont Medicare ACO Initiative, the Kidney Care Choices Model, any other Medicare initiative that involves shared savings (except as otherwise specified by CMS), the Primary Care First Model, the Maryland Total Cost of Care Model, and the Independence at Home Demonstration.

  • Inform the executive of the TIN that a Preferred Provider’s participation in the ACO may preclude the TIN/NPI combination associated with that individual or entity from participating in the Maryland Total Cost of Care Model.

  • State that a Preferred Provider’s participation in the ACO may preclude the individual or entity from participating in the Maryland Total Cost of Care Model.

  • Regardless of level of risk, support for all Members participating in the Care Model with Member-directed goal setting; identification of strengths, barriers and challenges; selection of lead care coordinator and care team; development of a shared care plan; convening of the care team; and prioritization of goals, action steps, tasks, and milestones.

  • When an Attributed Member is actively enrolled in the Care Model and is actively engaged with VCCI, VCCI should be included in all care team communications and shared care planning activities.

  • Processes and support for low and rising risk Members who wish to participate in Contractor’s Care Model.

  • The use of data and care team experience to identify Attributed Members who could benefit from integrated team-based care as part of the Care Model.

  • Processes to support each Member participating in the Care Model to identify a lead care coordinator to serve as the Member’s primary point of contact and facilitate care team meetings and activities.

  • Further, Contractor shall monitor and evaluate the effectiveness of its policies and procedures and develop and implement mechanisms to improve the Care Model over time using a continuous quality improvement framework.

  • Contractor shall provide policies and procedures regarding care management, care coordination, and its Care Model to DVHA upon request.

Related to Care Model

  • Park model means a recreational vehicle intended for

  • Care Plan means a licensee's written description of a resident's needs, preferences, and capabilities, including by whom, when, and how often care and services are to be provided.

  • Disaster Recovery Plan means has the meaning set out in paragraph 1.2.3 of schedule 5 (Disaster Recovery and Business Continuity);

  • Disaster recovery project means a redevelopment project

  • Recovery Plan means a recovery plan drawn up and maintained by an institution in accordance with Article 5;