Total cost of care definition

Total cost of care means out-of-pocket costs and other
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Total cost of care means the total expenditures for physical and mental health care an insurer reimbursed
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Total cost of care means out-of-pocket costs and other costs for services rendered by in-network dental providers that exceed the qualified dental plan maximum benefit for the plan year.
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Examples of Total cost of care in a sentence

  • Instead, participation requirements are based on the selection of local quality measures to impact within the five HTP Focus Areas:• Reducing Avoidable Hospital Utilization• Core Populations• Behavioral Health and Substance Use Disorders• Clinical and Operational Efficiencies• Community Development Efforts to Address Population Health and Total Cost of Care Hospitals will be required to address statewide measures for each Focus Area.

  • The full methodology is detailed in the Total Cost of Care Technical Guidance.

  • The MSR by AE size is detailed in the Total Cost of Care Technical Guidance.

  • Value-based (patient-focused) Programs may include, but are not limited to, Accountable Care Organizations, Global Payment/ Total Cost of Care arrangements, Patient Centered Medical Homes and Shared Savings arrangements.We, Our or Us: Blue Cross and Blue Shield of Nebraska, Inc.

  • The APM guidance will include a Total Cost of Care (TCOC) methodology and quality benchmarks.

  • Other Population Based Total Cost of Care models (inclusive, for example, all covered services in EOHHS-MCO contract and global capitation payments or a limited scope model such as a PCP capitation).

  • Moving to a Total Cost of Care (TCOC) model is a significant undertaking that requires preparation and investment such as training staff, purchasing appropriate infrastructure, and setting up electronic, secure communications.

  • These limits are identified inAttachment B (“EOHHS Total Cost of Care (TCOC) Requirements for the AE Program”)• Attribution MethodFor all budget-based Methodology #1 APMs Managed Care Organizations will conform with the attribution guidance established by EOHHS (see Attachment A to this document: EOHHS Attribution Guidance for the AE Program).

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  • Next Step and ContactsThe Purpose of Episode Quality Improvement Program (EQIP)Under the Total Cost of Care Model, Maryland’s healthcare system has focused on reducing costs and improving quality of care for Marylanders who receive care in both hospital and non-hospital settings.


More Definitions of Total cost of care

Total cost of care means, generally, the Payer’s financial cost of providing qualifying health care services to ACO’s Attributed Lives for a Performance Year. An Estimated Total Cost of Care is set between ACO and Payers before the Performance Year, and the ACO’s performance is measured by the difference between ACO Program Estimated Total Cost of Care and ACO Program Actual Total Cost of Care (the Payer’s actual cost). Each Program Agreement between ACO and a Payer will more particularly describe components of Total Cost of Care for that Program, for example, pharmacy may be excluded from some Programs’ calculations of Total Cost of Care.
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Total cost of care means all costs for a perinatal episode of
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Total cost of care means all costs for a perinatal episode of care as calculated by claims data, with a risk adjustment for clinical factors that affect the cost of delivering an episode for specific patients.
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Total cost of care means, in the context of this Contract, the cost of services as specified in Attachment A, Patient Attribution Method, Provider Taxonomy, and Services Provided, using the list of core services in Section 4.1 (Core Services).
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Total cost of care or “TCOC” means, generally, the Payer’s financial cost of providing qualifying health care services to ACO’s Attributed Lives for a Performance Year. An Estimated Total Cost of Care is set between ACO and Payers before the Performance Year, and the ACO’s performance is measured by the difference between ACO Program Estimated Total Cost of Care and ACO Program Actual Total Cost of Care (the Payer’s actual cost). Each Program Agreement between ACO and a Payer will more particularly describe components of Total Cost of Care for that Program, for example, pharmacy may be excluded from some Programs’ calculations of Total Cost of Care.
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Total cost of care or “TCOC” means the aggregate Medicare FFS costs for all items and services, or a specified subset thereof, furnished to Medicare FFS Beneficiaries.
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Related to Total cost of care

  • Total cost means the total annual cost of benefits and related costs including but not limited to claims, administration expenses, insurance premiums, consulting and advisory fees and all other costs and taxes, as reported on the insurance carrier’s most recent yearly statement and, if any, premium costs on other school authority financial statements for the year not ending later than August 31, 2015. The statements are to be provided to the Ministry of Education.

  • Total Costs means the sum of all direct and indirect costs associated with the purchase of the goods incurred by CPUT, including but not limited to the invoice price, goods life, service costs, distribution costs, transaction costs, inventory costs, purchasing administration costs and other costs incurred with the use of the goods provided by the Bidder.

  • Normal cost means the annual cost attributable, under the actuarial cost method in use, to current and future years as of a particular valuation date, excluding any payment in respect of an unfunded actuarial liability.

  • Original Cost means the total amount paid to purchase a security, including any transaction charges related to the purchase;

  • Standard Cost means any cost computed with the use of preestablished measures.

  • Cost of the Work means costs necessarily incurred by the Construction Manager in the proper performance of the Work. Such costs shall be at rates not higher than those customarily paid at the place of the Project except with prior consent of the Owner. The Cost of the Work shall include only the items set forth in this Article 6.

  • Monthly Uptime Percentage means total number of minutes in a calendar month minus the number of minutes of Downtime suffered in a calendar month, divided by the total number of minutes in a calendar month.