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Asuris and KCPHD Agreement
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2018-06-05 10:00 AM - Commissioners' Agenda
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Asuris and KCPHD Agreement
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Last modified
5/31/2018 1:16:16 PM
Creation date
5/31/2018 1:14:19 PM
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Meeting
Date
6/5/2018
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
k
Item
Request to Approve an Agreement between Asuris Northwest Health and the Kittitas County Public Health Department
Order
11
Placement
Consent Agenda
Row ID
45299
Type
Agreement
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"Medicare Advantage Compensation" means the compensation payable under the Agreement, <br />by Company to Provider in return for providing Covered Services to MA Members. <br />"Provider" means "Medical Group", "Hospital", "Facility", or "Provider" as those terms are used <br />and defined in the relevant Agreement where they are used. <br />2. The Medicare Advantage Compensation paid to Provider for Covered Services received by MA <br />Members during a particular month will be reduced by the same percentage as, or by such lower <br />percentage as Company may determine in Company's sole discretion, any Advance Payment <br />Adjustment imposed upon or levied against the Advance Monthly CMS Payments that are paid to <br />Company during that month. For example, if a federal budgetary sequestration reduces the <br />Advance Monthly CMS Payments paid to Company by 2% during the months of April and May of <br />a particular year, then the Medicare Advantage Compensation payable under the Agreement to <br />Provider for any Covered Services received by MA Members during April and May of that year <br />will also be reduced by 2%, or by such other lower percentage that Company may determine in <br />Company's sole discretion. <br />3. Other Provisions. The provisions of the Agreement that are not amended or deleted by this <br />Amendment remain unchanged and in full force and effect. <br />Asuris Medical Standard 2013 Medicare Advantage Sequestration Amendment Al8816854AA Page 2 <br />
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