Messenger Model definition
Examples of Messenger Model in a sentence
If continued efforts via the Messenger Model do not result in an agreement on fees between the Crescent In- Plan Provider and the HMO or Carrier, then the HMO or Carrier may terminate the Agreement upon sixty (60) days Written Notice.
Messenger Model Procedures For contracts that do not involve the sharing of substantial financial risk among individual Providers, Crescent may identify a messenger to act as a facilitator of arrangements between individual Providers and Payors.
If Provider objects to the Proposed Change, then the Proposed Change is not effective and Crescent may facilitate further discussions between In-Plan Provider and HMO or Carrier through Crescent’s Messenger Model.
When Provider and Payor or Payor’s Representative reach agreements related to rates via the Messenger Model, the agreed upon rates will remain in effect for a period of twelve (12) months.
Plan is free to counter-propose compensation terms which will be conveyed to Provider via the Messenger Model.
When Facility and Payor or Payor’s Representative reach agreements related to rates via the Messenger Model, the agreed upon rates will remain in effect for a period of twelve (12) months.
Plan is free to counterpropose compensation terms which will be conveyed to Facility via the Messenger Model.
Messenger Model with P4P program for a subset of IPA Participants who agree to perform in accordance with certain protocols.
If Provider objects to the Proposed Change, then the Proposed change is not effective and Crescent may facilitate further discussions between In-Plan Provider and HMO or Carrier through Crescent’s Messenger Model.
The foregoing procedure shall be identified as the "Messenger Procedure." At such time as all of the physicians in the OMNI network have achieved sufficient clinical or financial integration so as to avoid any substantial likelihood of liability under state or federal antitrust laws, OMNI shall cease to utilize the Messenger Model Procedure, unless otherwise required by law.