2017 Provider Incentive Program: Targets

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Presentation transcript:

2017 Provider Incentive Program: Targets METRIC DESCRIPTION TOTAL POINTS AVAILABLE ZERO CREDIT (0%) PARTIAL CREDIT (50%) FULL CREDIT (100%) Depression (ACO-18) Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 5   <30%  30-50%  >50% Statin Therapy (ACO-42) Statin Therapy for the Prevention and Treatment of Cardiovascular Disease  10  <30% 30-50% Hypertension (ACO-28) Hypertension (HTN): Controlling High Blood Pressure 10 <60% 60-70% >70% A1c Control (ACO-27) Diabetes Mellitus: Hemoglobin A1c Poor Control >9% >16% 10-16% <10% Patient Satisfaction: Net Promoter Score ACN All-Payer CG-CAHPS Patient Satisfaction Survey N/A >80% In-Network Care Coordination Medicare ACO Beneficiary IN- NETWORK Care Coordination 60 <25% 25-50% >50%   100 Proprietary and Confidential 1

2017 Provider Incentive Program: Q1 Results PIP Category Weight (Points) Available Funds Earned Funds Percent Earned Quality 35% $ 175,000 $ 32,349 18% Care Coordination 60% $ 300,000 $ 196,718 66% Net Promoter Score 5% $ 25,000 $ 11,366 45% Pod Meeting Stipends   $ 11,900 $ 500,000 $ 252,333 51% 2