Common use of Provider Incentive Programs Clause in Contracts

Provider Incentive Programs. 7.7.2.1 In addition to the Value-Based Incentive Program in Section 7.7.1, Contractor may establish incentives for its Participating Providers, Preferred Providers, and Participating Practices. Contractor will determine its own methodology for incentivizing Participating Providers, Participating Practices and Preferred Providers, subject to DVHA approval. Prior to implementation of any incentive programs, Contractor will provide DVHA with policies related to provider incentives, updates to policies related to the VMNG Program are also subject to DVHA approval. Contractor shall comply with federal regulations regarding physician incentive plans includes those in 42 CFR § 438.3(h). 7.7.2.2 Contractor will make no specific payment directly or indirectly to a provider or provider organization as an inducement to reduce or limit medically necessary services furnished to an individual Member.

Provider Incentive Programs. 7.7.2.1 In addition to the Value-Based Incentive Program in Section 7.7.1, Contractor may establish incentives for its Participating Providers, Preferred Providers, Providers and Participating Practices. Contractor will determine its own methodology for incentivizing Participating Providers, Providers and Participating Practices and Preferred ProvidersPractices, subject to DVHA approval. Prior to implementation of any incentive programs, Contractor will provide DVHA with policies related to provider incentives, updates to policies related to the VMNG Program are also subject to DVHA approval. Contractor shall comply with federal regulations regarding physician incentive plans includes those in 42 CFR § 438.3(h). 7.7.2.2 Contractor will make no specific payment directly or indirectly to a provider or provider organization as an inducement to reduce or limit medically necessary services furnished to an individual Member.