Network Management and Delivery System Standards Clause Samples

Network Management and Delivery System Standards. 4.1 Exchange Quality Initiatives The parties acknowledge and agree that furthering the goals of the Exchange require Contractor to work with the other QDP 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 oral 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”).