Common use of Cost Containment Clause in Contracts

Cost Containment. ‌ The Village reserves the right to institute cost containment provisions for medical and dental insurance programs. Examples of such cost containment provisions may include, but are not limited to, the following: a) Hospitalization must be pre-approved for non-emergency purposes or health benefits may be reduced; b) Authorization for emergency admission must be obtained within forty-eight (48) hours of the admission or benefits may be reduced; c) Hospital benefits shall be paid only for the approved number of extended confinement days, unless other authority has been obtained; and d) The insurance provider may require mandatory second opinions for elective surgery, pre-admission and continued admission review, prohibition on weekend admissions except in emergency situations, and mandatory out-patient elective surgery for certain designated surgical procedures. e) Changes made to avoid increased costs relating to State or Federal mandates concerning insurance programs or coverage.

Cost Containment. ‌ The Village reserves the right to institute cost containment provisions for medical and dental insurance programssimilar to those applicable to other Village employees. Examples of such cost containment provisions may include, but are not limited to, the following: (a) Hospitalization must be pre-approved for non-emergency purposes or health benefits may be reduced; (b) Authorization for emergency admission must be obtained within forty-eight (48) hours of the admission or benefits may be reduced; (c) Hospital benefits shall be paid only for the approved number of extended confinement days, unless other authority has been obtained; and (d) The insurance provider may require mandatory second opinions for elective surgery, pre-admission and continued admission review, prohibition on weekend admissions except in emergency situations, and mandatory out-patient elective surgery for certain designated surgical procedures. e) Changes made to avoid increased costs relating to State or Federal mandates concerning insurance programs or coverage.