2025-126D - Laserfiche WebLink

Home Browse Search

Docusign Envelope ID: 921F7A24-D5CE-4BCC-9F3C-5E7844661266 RIGHTWAY under this Agreement, RIGHTWAY may use Rebates to offset amounts due from Client or may delay remittance of Rebates to allow for final adjustments. Such right of set off or delay shall be in addition to RIGHTWAY's other rights set forth in this Agreement. C. RIGHTWAY Savings Guarantees. "' For avoidance of doubt, the Clinical and Navigation savings guarantee is related to the Claims and Benefit Admin fee, Standard Clinical Program fee, and Pharmacy Navigation fee combined. Clinical and Navigation savings guarantee is measured on a cumulative basis over the duration of the Client's Term i.e. guarantee is not measured for each Contract Year independently. D. RIGHTWAY PMPM Target and'Ferms and Conditions. In accordance with the terms of this Agreement, RIGHTWAY will aim to deliver the value of the proposed PMPM Target identified below. In the event the PMPM Target for any applicable year is achieved, then the AWP Discount Guarantees, Dispensing Fee Guarantees, and Minimum Rebate Guarantees set forth in Sections A and B above shall not apply. Otherwise, RIGHTWAY shall reconcile the AWP Discount Guarantees, Dispensing Fee Guarantees, and Minimum Rebate Guarantees in accordance with this Exhibit. PNIPM Target Gross Cost (Cost -Sharing Amount + Plan Cost before Rebates $190.03 Rebates -$65.70 Clinical Savings -S15.32 Year One Target $109.01 Year Two Target Year One Actual + 8% Year Three Tar et - Year Two Actual + 8% • Year Two and Year Three PMPM Targets shall be established by taking the previous year's final reconciled PMPM and adding the maximum trend included in the PMPM Target chart above. • The individual components of the PMPM Target are not evaluated as components, only the final net PMPM Target shall be used for evaluation. • The following types of Claims are excluded from the PMPM Target: i) vaccines, ii) Covid test kits 48 This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, transmitted, published, or disclosed to others without the prior written authorization of RIGHTWAY Healthcare, Inc.