Common use of PROVIDER PAYMENT ARRANGEMENTS; VALUE-BASED PROGRAMS Clause in Contracts

PROVIDER PAYMENT ARRANGEMENTS; VALUE-BASED PROGRAMS. 5.1 Provider Payment Arrangements. ▇▇▇▇▇▇▇▇ will be responsible for negotiating and entering into separate payment arrangements with health care providers. Such provider payment arrangements and agreements shall apply to services by such providers for all Members entitled to benefits under plans insured or administered by Wellmark, including Members under this Plan. Wellmark shall determine, in its sole discretion, the payment arrangements with health care providers including, without limitation, the Maximum Allowable Fees for Incurred Claims. Without limiting the foregoing, Wellmark may compensate providers pursuant to a variety of payment arrangements, including the following: a. Fee for service arrangements, including, without limitation, per diem and percent of charge arrangements;

PROVIDER PAYMENT ARRANGEMENTS; VALUE-BASED PROGRAMS. 5.1 Provider Payment Arrangements. ▇▇▇▇▇▇▇▇ Wellmark will be responsible for negotiating and entering into separate payment arrangements with health care providers. Such provider payment arrangements and agreements shall apply to services by such providers for all Members entitled to benefits under plans insured or administered by Wellmark, including Members under this Plan. Wellmark shall determine, in its sole discretion, the payment arrangements with health care providers including, without limitation, the Maximum Allowable Fees for Incurred Claims. Without limiting the foregoing, Wellmark may compensate providers pursuant to a variety of payment arrangements, including the following: a. Fee for service arrangements, including, without limitation, per diem and percent of charge arrangements;