Value-Based Purchasing Sample Clauses

Value-Based Purchasing a. To participate in the Department’s Value Based Purchasing program which, pursuant to 42 CFR 438.6(b)(2), shall be applicable only to the rating period under this Agreement.
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Value-Based Purchasing. ‌ At its option, DOM may implement a value-based purchasing within CHIP. DOM reserves the right to phase in implementation of a value-based purchasing model beginning with a performance incentive program. Should DOM move forward with such an effort, DOM will provide operational protocols describing the process for selecting priority areas, measures, and targets, Contractor expectations, and DOM responsibilities prior to implementation. If implemented, the value-based purchasing model will require the participation of key Contractor staff, including the Medical Director, in regular meetings with DOM staff. The value-based purchasing model may lead to the creation of subcommittees to current Managed Care Program Quality Committees, referenced in Section 9.A, General Requirements, of this Contract. Contractor will have an opportunity to provide recommendations on selections for priority areas, measures, and targets based on the results of gaps analysis and root cause analyses performed by Contractor. DOM will have final authority on the selection of priority areas, measures, and targets, which Contractor will be required to comply.
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Value-Based Purchasing. ‌ At its option, the Division may implement a value-based purchasing within the
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Value-Based Purchasing. ‌ At its option, the Division may implement a value-based purchasing within the MississippiCAN Program. The Division reserves the right to phase in implementation of a value-based purchasing model beginning with a performance incentive program. Should the Division move forward with such an effort, the Division will provide operational protocols describing the process for selecting priority areas, measures, and targets, Contractor expectations, and Division responsibilities prior to implementation. If implemented, the value-based purchasing model will require the participation of key Contractor staff, including the Medical Director, in regular meetings with Division staff. The value-based purchasing model may lead to the creation of subcommittees to current MississippiCAN Program Quality Committees, referenced in Section 9.A, General Requirements, of this Contract. The Contractor will have an opportunity to provide recommendations on selections for priority areas, measures, and targets based on the results of gaps analysis and root cause analyses performed by the Contractor. The Division will have final authority on the selection of priority areas, measures, and targets, which the Contractor will be required to comply.
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Value-Based Purchasing. 6.10.1.1. Providers will be rewarded based on achieving quality and improved outcomes, rather than volume of services delivered.
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Value-Based Purchasing. If multiple Contractors meet the Proximity standard, then assignment will occur based on Value-Based Purchasing (VBP) performance measures as defined by the Division (See Section 8.8, Value-Based Purchasing, of this Contract for more information), unless assignment is needed during the Special Open Enrollment described below.
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Value-Based Purchasing. Provider payments in VBP programs must be based upon improved Member health care outcomes and/or quality scores. The CONTRACTOR must demonstrate how VBP programs improve Member outcomes/quality scores and not solely administrative efficiencies to qualify as a VBP program. VBP Arrangements must include provisions whereby providers are held accountable to quality goals via performance measures (PMs) and savings are passed directly to the front-line providers and teams making the necessary interventions to improve quality . When selecting PMs for VBP contracts, the CONTRACTOR must adhere to any PM requirements promulgated by the Medicaid program, and the New Mexico Primary Care Council for Primary Care VBP targets. In order to be counted towards the CONTRACTOR’s total VBP Delivery System Improvement Performance Targets (DSIPT) goals, VBP arrangements applicable to Primary Care must adhere to requirements defined by the New Mexico Primary Care Council. The CONTRACTOR shall develop a VBP plan for achieving the requirements of Attachment 2, DSIPT and meeting the general expectation to reward Providers based on achieving quality and outcomes. The CONTRACTOR’s plan shall be submitted to HSD annually by April 1. Upon written approval from HSD, the CONTRACTOR shall implement its plan. The VBP plan, at a minimum, shall include the following: Initiatives, goals, targets, and strategies; Baseline period; and Data sharing arrangements established with Contract Providers under VBP arrangements. The CONTRACTOR shall submit updates to the evaluation plan to HSD quarterly that include status, supportive data, and other pertinent information to the delivery system improvement. The CONTRACTOR shall submit quarterly DSIPT reports on templates provided by HSD. The CONTRACTOR shall share performance and Claims data and lists of attributed Members with Providers on a quarterly basis for the membership that is attributed to the provider in VBP arrangements. This data should include sufficient information on all services provided to attributed Members, not just those delivered by the Contract Provider. The CONTRACTOR shall share performance and/or claims data with Providers considering entering into VBP arrangements. This data should be sufficient to allow Providers to make informed decisions about potential contracts, and, for Primary Care VBP targets, adhere to any recommendations promulgated by the New Mexico Primary Care Council. The CONTRACTOR shall provide technical assistanc...
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Value-Based Purchasing 
Sample 1

Related to Value-Based Purchasing

  • Open Market Purchases Failure of the Contractor to Perform within the time specified in the Contract, or failure to replace rejected or substandard Goods or fulfill unperformed Services when so requested and as the Contract provides or allows, constitutes a breach of the Contract and as a remedy for such breach, such failure shall constitute authority for DAS, if it deems it to be necessary or appropriate in its sole discretion, to Terminate the Contract and/or to purchase on the open market, Goods or Services to replace those which have been rejected, not delivered, or not Performed. The Client Agency shall invoice the Contractor for all such purchases to the extent that they exceed the costs and expenses in Exhibit B and the Contractor shall pay the Client Agency’s invoice immediately after receiving the invoice. If DAS does not Terminate the Contract, the Client Agency will deduct such open market purchases from the Contract quantities. However, if the Client Agency deems it to be in the best interest of the State, the Client Agency may accept and use the Goods or Services delivered which are substandard in quality, subject to an adjustment in price to be determined by the Client Agency.

  • Purchases Without the prior written consent of Lender, no materials, machinery, equipment, fixtures or any other part of the Repairs or Capital Replacements will be purchased or installed under conditional sale contracts or lease agreements, or any other arrangement wherein title to such Repairs or Capital Replacements is retained or subjected to a purchase money security interest, or the right is reserved or accrues to anyone to remove or repossess any such Repairs or Capital Replacements, or to consider them as personal property.

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