Clinical Integration Payor Contracts Sample Clauses

The Clinical Integration Payor Contracts clause governs the terms under which healthcare providers or organizations enter into agreements with payors, such as insurance companies, to participate in clinically integrated networks. This clause typically outlines the requirements for providers to coordinate care, share data, and meet certain quality or efficiency benchmarks as part of the network. Its core function is to facilitate collaborative arrangements that improve patient outcomes and reduce costs, while ensuring that all parties understand their obligations and the standards for participation in such integrated care models.
Clinical Integration Payor Contracts. At such time as HMHP implements its Clinical Integration program as a Clinically Integrated Network, HMHP may negotiate and enter into contracts with Payors that include all terms related to the delivery of Covered Services, including price and other terms related to payment (“CI Payor Contracts”). CI Payor Contracts will be presented to the Practice, and Practice will have a reasonable time to decline to participate (“Opt Out Election”). Participating Physicians shall participate in and faithfully perform the conditions of CI Payor Contracts in which the Practice participates. If Practice does not provide an Opt Out Election for a CI Payor Contract, any agreement between Practice and that Payor for the same Health Benefit Plans shall be superseded by HMHP’s Payor Contract, unless otherwise agreed by HMHP and the Payor.
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Related to Clinical Integration Payor Contracts

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