Exchange Quality Initiatives Clause Samples
The Exchange Quality Initiatives clause establishes standards and procedures aimed at maintaining or improving the quality of services or products exchanged between parties. Typically, this clause outlines specific quality benchmarks, monitoring processes, and corrective actions if standards are not met, such as regular audits or reporting requirements. Its core function is to ensure that all exchanged goods or services consistently meet agreed-upon quality levels, thereby reducing disputes and promoting reliability in the business relationship.
Exchange Quality Initiatives. The parties acknowledge and agree that furthering the goals of the Exchange require Contractor to work with the other QHP Issuers and its contracted providers to play an active role in building and supporting models of care to meet consumer and social needs for providing better care, promoting health and lowering per capita costs through improvement. Contractor agrees to work with the Exchange to develop or participate in initiatives to promote models of care that (i) target excessive costs, (ii) minimize unpredictable quality, (iii) reduce inefficiencies of the current system, and (iv) promote a culture of continuous quality and value improvement, health promotion, and the reduction of health disparities to the benefit of all Enrollees and, to the extent feasible, other health care consumers. In order to further the mission of the Exchange with respect to these objectives and provide the Covered Services required by Enrollees, the Exchange and Contractor shall coordinate and cooperate with respect to quality activities conducted by the Exchange in accordance with the mutually agreeable terms set forth in this Section and in the Exchange’s Quality, Network Management and Delivery System Standards set forth at Attachment 7 (“Quality, Network Management and Delivery System Standards”).