Total cost of care definition

Total cost of care means all costs for a perinatal episode of
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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 on
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Examples of Total cost of care in a sentence

  • The amount of at-risk funding earned by an ACO will be determined by an ACO’s DSRIP accountability score, which is based on performance in the following two domains: ACO Total Cost of Care (TCOC) Performance; and ACO Quality and Utilization Performance.

  • Such Shared Losses would be considered as reductions in expenditures and such Shared Savings as additional expenditures for purposes of calculating the Vermont Medicare Total Cost of Care per Beneficiary Growth and All-payer Total Cost of Care per Beneficiary Growth.

  • Vermont Medicare Total Cost of Care per Beneficiary Growth calculations will be adjusted for age differences between Vermont Medicare Beneficiaries and National Medicare Beneficiaries.

  • Total Cost of Care (TCOC) – a measure of the costs of care for a population of Members during a defined period, as described in Section 4.3.D.1. TCOC Benchmark – a target measure of the Contractor’s TCOC for the Contract Year, as described in Section 4.3.D.2.

  • Provider may not: (a) be identified as a DC Participant Provider by another Medicare DCE (except as otherwise specified by CMS); (b) participate in another Medicare shared savings initiative, except as expressly permitted by CMS; or (c) participate in the Maryland Total Cost of Care Model, the Primary Care First Model, or the Independence at Home Demonstration.

  • Projected National Medicare Total Cost of Care per Beneficiary Growth will be calculated as a compounded annualized growth rate in aggregate across Performance Years 1-5 of this Model, using 2017 as a baseline and summarized by the following formula.

  • For Performance Year 4 and subsequent Performance Years, the Vermont Medicare Total Cost of Care per Beneficiary will include all Vermont Medicare Beneficiaries.

  • All-payer Total Cost of Care per Beneficiary Growth will be calculated in aggregate as a compounded annualized growth rate of All-payer Total Cost of Care per Beneficiary across Performance Years 1-5 of this Model, using 2017 as a baseline.

  • For Performance Years 1 and 2, the Vermont Medicare Total Cost of Care per Beneficiary will include only Vermont Medicare Beneficiaries who are aligned to Scale Target ACO Initiatives operating pursuant to executed participation agreements with CMS.

  • Vermont Medicare Total Cost of Care per Beneficiary Growth will be calculated as a compounded annualized growth rate in aggregate across Performance Year 1 and subsequent Performance Years of this Model, using 2017 as a baseline.


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 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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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 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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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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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, auditing 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 district school area board or public school authority statements, for the year ending no later than August 31, 2015. The aforementioned statements are to be provided to the Ministry of Education. Total Cost excludes retiree costs. The average number of Full-Time Equivalent (FTE) positions in the bargaining unit as at October 31st and March 31st for the period consistent with this clause.

  • 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.

  • Trip Cost means the dollar amount of Trip payments or deposits paid by the Insured prior the Insured’s Trip Departure Date and shown on any required application which is subject to cancellation penalties or restrictions. Trip cost will also include the cost of any subsequent pre-paid payments or deposits paid by the Insured for the same Trip, after application for coverage under this plan provided the Insured amends the Application to add such subsequent payments or deposits and pays any required additional plan cost prior to the Insured’s Departure Date.

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

  • Actual Cost means the cost of depleted supplies, records storage media costs, actual mailing and alternative delivery costs, or other transmitting costs, and any direct equipment operating and maintenance costs, including actual costs paid to private contractors for copying services.

  • Fully Loaded Cost means the direct cost of good or service plus all applicable indirect charges and overheads.

  • book cost means the total amount paid to purchase a security, including any transaction charges related to the purchase, adjusted for reinvested distributions, returns of capital and corporate reorganizations;

  • Stranded cost means the amount by which the net cost of an

  • Historical cost means the actual cost incurred in acquiring and preparing a fixed asset for use. Historical cost includes such planning costs as feasibility studies, architects' fees, and engineering studies. Historical cost does not include "start-up costs" as defined in this rule.

  • Indirect Cost Rate means a device for determining in a reasonable manner the proportion of indirect costs each Program should bear. It is a ratio (expressed as a percentage) of the Indirect Costs to a Direct Cost base. If reimbursement of Indirect Costs is allowable under an Award, Grantor will not reimburse those Indirect Costs unless Grantee has established an Indirect Cost Rate covering the applicable activities and period of time, unless Indirect Costs are reimbursed at a fixed rate.