Incentive Arrangement definition

Incentive Arrangement means any payment mechanism under which a contractor may receive additional funds over and above the capitation rates it was paid for meeting targets specified in the contract.
Incentive Arrangement. Any mechanism under which a Contractor may receive additional funds over and above the Capitation rates, for exceeding targets specified in the Contract.
Incentive Arrangement means any earn-out agreements, stock appreciation rights, “phantom stock plans,” stock plans, stock option plans, employment agreements, non-competition agreements, subscription and stockholders agreements and other incentive and bonus plans and similar arrangements made in connection with acquisitions of Persons or businesses by the Company or its Restricted Subsidiaries, or the retention of directors, officers or employees by the Company or its Restricted Subsidiaries.

Examples of Incentive Arrangement in a sentence

  • Incentive Arrangement – Any payment mechanism under which a CONTRACTOR may receive additional funds over and above the capitation rates it was paid for meeting targets specified in the contract.

  • All incentives must comply with the federal managed care Incentive Arrangement requirements pursuant to 42 CFR 438.6 and the State Medicaid Manual 2089.3.


More Definitions of Incentive Arrangement

Incentive Arrangement means any earn-out agreement, stock appreciation rights, "phantom stock plans," employment agreements, non-competition agreements, subscription and stockholders agreements and other incentive and bonus plans and similar arrangements made in connection with acquisitions of persons or businesses by the Company or its Restricted Subsidiaries, or the retention of directors, officers or employees by the Company or its Restricted Subsidiaries, other than any such agreement or arrangement with Xxxx X. Xxxxxxxxxx or any Person directly or indirectly under his control (other than the Company or its Restricted Subsidiaries).
Incentive Arrangement means any payment mechanism approved by CMS in accordance with 42 CFR section 438.6(b) under which Contractor may receive incentive payments in addition to Capitation Payments for meeting targets specified in accordance with this Contract, including but not limited to Exhibit B, Section 1.14.C. Independent Medical Review (IMR) means a review of Contractor’s denial of a Member’s request for health care service as not Medically Necessary by an independent Physician(s) who is contracted with DMHC. The IMR decision is binding on Contractor but not the Member.
Incentive Arrangement means any payment mechanism approved by Centers for Medicare & Medicaid Services (CMS) in accordance with the requirements of 42 CFR section 438.6(b) under which Contractor may receive incentive payments in addition to Capitation Payments for meeting targets specified in accordance with this Contract, including but not limited to Exhibit B, Subsection 1.1.14.C (Special Contract Provisions Related to Payment). Independent Medical Review (IMR) means a review of Contractor’s denial of a Member’s request for health care service as not Medically Necessary, experimental, or investigational by an independent physician(s) who is contracted with DMHC. The IMR decision is binding on Contractor but not the Member who may still request a State Hearing after an IMR pursuant to H&S section 1374.30 and 28 CCR section 1300.74.30. Indian Health Care Provider (IHCP) means a health care program operated by the Indian Health Service (IHS) or by an Indian Tribe, Tribal Organization, or Urban Indian Organization (otherwise known as an I/T/U) as those terms are defined in section 4 of the Indian Health Care Improvement Act (IHCIA) at 25 USC section 1603. Indian Health Service (IHS) means an agency within the United States Department of Health and Human Services responsible for providing federal health services to American Indians and Alaska Natives. The IHS is the principal federal health care provider and health advocate for these populations, and provides them with a comprehensive Indian health care delivery system. Indian Health Services Memorandum of Agreement Provider (IHS/MOA) means an Indian Health Service (IHS) program funded under the authority of Public Law 93-638 at 25 USC section 5301 et seq. These programs have elected to participate in Medi-Cal as IHS/MOA providers. IHS/MOAs are subject to the payment terms of APL 17-020. The list of eligible IHS/MOA providers is found in APL 17-020, Attachment #1. These providers receive a federally established All-Inclusive Rate that is updated annually by the federal Office of Management and Budgets and published in APL 17-020, Attachment #2. In-Home Supportive Services (IHSS) means services provided to Members by a county in accordance with the requirements set forth in W&I sections 12300 et seq., 14132.95, 14132.952, and 14132.956. Initial Health Appointment (IHA), previously called an Initial Health Assessment, means an assessment that must be completed within 120 days of Contractor Enrollment for new Members and must include...
Incentive Arrangement. Any mechanism under which a Contractor may receive additional funds over and above the Capitation rates, for exceeding targets specified in the Contract. WellCare Amendment #11 Page 38 of 83 Contract #0654 Incurred-But-Not-Reported (IBNR): Estimate of unpaid Claims liability, includes received but unpaid Claims. Individuals with Disabilities Education Act (IDEA): A United States federal law that ensures services to children with disabilities throughout the United States. IDEA governs how states and public agencies provide early intervention, special education and related services to children with disabilities.
Incentive Arrangement means any plan, arrangement, agreement or program with or for the benefit of any one or more natural persons who are or are to become employees of the Company or any of its subsidiaries and that is intended to induce one or more such persons to enter into or remain in the employment of the Company or any of its subsidiaries or to incentives or reward any such person, including without limitation stock options, stock grants and restricted stock plans.
Incentive Arrangement means the Company’s Annual Incentive Plan, the Company’s Long Term Incentive Plan and any successors to such plans.