Promoting Care Coordination and Higher Value Sample Clauses

Promoting Care Coordination and Higher Value. 7.01 Contractor shall provide the Exchange with access to any and all Participating Provider contracts including payment terms, and upon request, shall submit copies of such contracts to the Exchange’s audit/actuarial firms in accordance with the audit provisions set forth herein. 7.02 Contractor will actively promote access expansion thorough the development of care models that promote care coordination and value. Such models may include, but are not limited to, Accountable Care Organizations (ACO), Patient Centered Medical Homes (PCMH), Bundled Payments, or participation in shared risk and or gain sharing arrangements with provider organizations. Contractor will provide evidence of increased the Exchange enrollment within these delivery models through regular reporting. 7.03 During calendar year 2015, ▇▇▇▇▇▇▇▇▇▇ agrees to the following: (a) Use a patient-centered, team-based approach to care delivery and member engagement (b) Focus on additional primary care recruitment, use of mid-level practitioners and development of new primary care and specialty clinics (c) Focus on expanding primary care access through payment systems and strategies (d) Use an intensive outpatient care programs (“Ambulatory ICU”) for enrollees with complex chronic conditions (e) Use qualified health professionals to deliver coordinated patient education and health maintenance support, with a proven approach for improving care for high-risk and vulnerable populations (f) Support physician and patient engagement in shared decision-making (g) Provide patient access to their health information (h) Promote team care (i) Use telemedicine (j) Promote the use of retail clinics (k) Promote the use of remote patient monitoring (l) Promote the use of condition and procedure specific Centers of Excellence within the United States On an annual basis, Contractor will provide the Exchange with specific information related to (1) the scope of such initiatives with regard to health plan’s entire membership and (2) the Exchange’s membership and the impact of these efforts on the Exchange enrolled membership, including the number of impacted Plan Enrollees and total annual claims payments.

Promoting Care Coordination and Higher Value. 7.01 Contractor will actively promote access expansion thorough the development of care models that promote care coordination and value. Such models may include, but are not limited to: (a) Accountable Care Organizations (ACO); (b) Patient Centered Medical Homes (PCMH); (c) Bundled Payments; (d) Participation in shared risk and or gain sharing arrangements with provider organizations; (e) Use a patient-centered, team-based approach to care delivery and member engagement; (f) Focus on additional primary care recruitment, use of mid-level practitioners and development of new primary care and specialty clinics; (g) Focus on expanding primary care access through payment systems and strategies; (h) Use an intensive outpatient care programs (“Ambulatory ICU”) for enrollees with complex chronic conditions; (i) Use qualified health professionals to deliver coordinated patient education and health maintenance support, with a proven approach for improving care for high-risk and vulnerable populations;