MLR Incentive Threshold definition

MLR Incentive Threshold means the threshold that is set by HCA and must be at or higher than 85%, which is the Affordable Care Act (ACA) MLR threshold.
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Examples of MLR Incentive Threshold in a sentence

  • If the Contractor’s MLR is less than the MLR Incentive Threshold, the Contractor will distribute the incentive based Premium Rebate to HCA.

  • Under the illustrative performance where the MLR Incentive Threshold is eighty-seven percent (87%), and the actual MLR reported for the Contractor is eighty-one and a half percent (81.5%) then the MLR Incentive based Premium Rebate would result in a Premium Rebate of two percent (2%) of premium less applicable taxes and fees.

  • HCA intends to reconcile the Premium Rebates relating to the MLR Incentive Threshold concurrently with the final Federal reconciliation of the MLR rebate.

  • Utilizing the MLR to incentivize high quality health care, value-based payment and care transformation: Under this Contract, the Contractor is required to meet a MLR Incentive Threshold, calculated as ninety percent (90%) minus (-) the MLR Incentive Adjustment.

Related to MLR Incentive Threshold

  • Performance Target means the level of performance expected of the HSP in respect of a Performance Indicator or a Service Volume. “person or entity” includes any individual and any corporation, partnership, firm, joint venture or other single or collective form of organization under which business may be conducted.

  • Relative Total Shareholder Return or “Relative TSR” means the Company’s TSR compared to the Peer Companies TSR on a relative basis. The Company and the Peer Companies from highest to lowest according to their respective TSRs will determine Relative TSR. After this ranking, the percentile performance of the Company relative to the Peer Companies will be determined using the Percentrank formula in Microsoft Excel.