HMHP definition
Examples of HMHP in a sentence
If Practice does not provide an Opt Out Election for a Risk Payor Contract, any agreement between Practice and that Payor for the same Health Benefit Plans shall be superseded by HMHP’s Payor Contract, unless otherwise agreed by HMHP and the Payor.
HMHP may amend the Policies and Procedures at any time, but will use reasonable efforts to provide notice of such amendments at least thirty (30) days prior to their effective date.
HMHP will adopt specific Policies and Procedures regarding the requirements Practice and Participating Physicians must meet to be eligible to receive payments under the Incentive Arrangements.
HMHP may contract with Payors for HMHP to administer care management, utilization management and quality assurance programs for Payors.
Practice and each Participating Physician agrees that HMHP, acting in its capacity as Practice’s and each Participating Physician’s business associate under the Business Associate Agreement attached hereto as Exhibit B, may request and receive clinical and administrative data from Practice, Payors, and other data sources pertaining to services a Participating Physician provided, or requested, on behalf of an Enrollee.
As a Clinically Integrated Network, HMHP shall administer quality improvement and utilization management activities, including, but not limited to, development and implementation of Policies and Procedures and monitoring Practice’s and Participating Providers’ compliance.
If Practice determines that serving on the Quality Committee or any other HMHP committee will constitute a serious hardship or undue burden to Practice such that no Participating Physician is able or willing to serve, Practice will provide an explanation to the HMHP Board or its designated representative, which will promptly consider Practice’s circumstances.
If Practice chooses to exercise an Opt Out Election, Practice shall have thirty (30) days from receipt of notice from HMHP regarding the proposed new CI Payor Contract or Risk Payor Contract to provide an Opt Out Election for the new Payor Contract.
It is the intention of HMHP to provide electronic reports to Practice and the Participating Physicians via the Internet or HMHP portal.
Either HMHP or Practice may terminate this Agreement immediately upon written notice in the event the other Party materially breaches any of the provisions contained herein; provided, however, the breaching Party shall have been given written notice of such breach and has failed to cure such breach within thirty (30) days of receipt of such notice.