Gainsharing definition

Gainsharing means the sharing of savings achieved by an ACO in the Medicaid ACO Demonstration Project established pursuant to P.L. 2011, c. 114, as calculated in accordance with a gainsharing plan approved by the Division. Gainsharing shall not mean the splitting of profits or the payment or sharing of revenue in a manner not identified in an approved gainsharing plan.

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Gainsharing means the arrangement, memorialized in this Agreement, for (i) the generation of Internal Cost Savings attributable to Care Redesign; (ii) the collection of Internal Cost Savings amounts to be contributed to the BPCI Savings Pool from EIP; and (iii) the distribution of Incentive Payments from the BPCI Savings Pool to the EIP and/or the Practice and/or Participating Physicians and other participating practices and/or participating physicians.

Gainsharing means the mechanism for the sharing of Gainshare Profits set out in Schedule 23 (Gainsharing);

Examples of Gainsharing in a sentence

• An employee shall be entitled to a Hospital ▇▇▇▇ Audit Gainsharing payment of 33 1/3 % of an overpayment (or other billing error resulting in an overpayment to the health care provider), up to a maximum of $500 to the employee for each incident.

• In order to qualify for the Gainsharing payment, the employee must: (i) identify an overpayment of more than $250 (in the aggregate) in a hospital ▇▇▇▇ that is presented to an employee or his or her dependent; and (ii) notify the BPCSS Office of Benefits Management of the error within 30 days after receipt of an Explanation of Benefits from the Health Plan.

• An employee shall be entitled to a Hospital Bill Audit Gainsharing payment of 33 1/3 % of an overpayment (or other billing error resulting in an overpayment to the health care provider), up to a maximum of $500 to the employee for each incident.

• In respect of each Service Provider Financial Year, the Service Provider shall pay to TfL the Gainshare, if any, calculated in accordance with Schedule 23 (Gainsharing).

• Adherence to ACO related regulations and applicable waivers granted under the Affordable Care Act, ▇▇▇▇▇ Law, Anti-kickback statute, civil money penalty law (CMP), Gainsharing CMP, and incentives.

• In order to qualify for the Gainsharing payment, the employee must: (i) identify an overpayment of more than $250 (in the aggregate) in a hospital bill that is presented to an employee or his or her dependent; and (ii) notify the BPCSS Office of Benefits Management of the error within 30 days after receipt of an Explanation of Benefits from the Health Plan.

• An employee shall be entitled to a Hospital Bill Audit Gainsharing payment of 33 1/3% of an overpayment (or other billing error resulting in an overpayment to the health care provider), up to a maximum of $500 to the employee for each incident.

• Gain-sharing payments shall be included as taxable income on the Flight Attendant’s paycheck.

• In order to qualify for the Gainsharing payment, the employee must: (i) identify an overpayment of more than $250 (in the aggregate) in a hospital bill that is presented to an employee or their dependent; and (ii) notify the BCPSS Office of Benefits Management of the error within 30 days after receipt of an Explanation of Benefits from the Health Plan.

• An employee shall be entitled to a Hospital ▇▇▇▇ Audit Gainsharing payment of 33 1/3% of an overpayment (or other billing error resulting in an overpayment to the health care provider), up to a maximum of $500 to the employee for each incident.

More Definitions of Gainsharing

Gainsharing means an incentive program that includes financial rewards to employees for exceeding specific performance goals, which generate sustainable savings for the County through better use of labor, capital, materials and energy.

Gainsharing means the mechanism set out in schedule 23 (Gainsharing) for the sharing of Excess Profits of the Service Provider;

Gainsharing means a contract where MDs share percentage of a hospital’s cost savings arising from the physicians’ implementation of cost-reduction measures – often product standardization.