CATALYST FOR PAYMENT REFORM The National Compendium on Payment Reform. National Compendium on Payment Reform is a searchable and sortable, detailed database of private-sector payment reform initiatives across the country—a resource for many stakeholders. Learn more ».

COMPENDIUM SEARCH

Compendium Search. Please choose from the following criteria to search for matching programs within the Compendium database: Name of Payment Reform Program. Organization Name. Program location (s) Not in this market (Identify market in field below) In this market and other markets (Identify markets in ABOUT THE COMPENDIUM The National Compendium on Payment Reform, a resource for employers, plans, providers, journalists and policymakers, is a web-based, searchable and sortable, descriptive database of private-sector payment reform initiatives across the country, . Both the National Scorecard and National Compendium are populated with data from health

plans, which

MY ENTRIES - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG Those who lead payment reform programs and pilots, including medical groups and health plans, are encouraged to populate this Compendium with information about their program.

ABOUT CPR

Catalyst for Payment Reform (CPR) is an independent, non-profit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and to promote higher-value care in the U.S. CPR members have a shared agenda for payment reform along with tools that catalyze change in the marketplace and align public and private-sector DEFINITIONS OF PAYMENT MODEL TERMS Definitions of Payment Model Terms. The following contains definitions of terms used in the Compendium. Refers to a statistical or administrative methodology that attributes a patient population to a provider for the purposes of calculating health care costs/savings or

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Health IT adoption or use, Utilization results

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Application of specific medical home practices (e.g., intensive self

PROGRAM DETAILS

Appropriate maternity care, Longitudinal efficiency relative to target or peers, Application of specific medical home practices (e.g., intensive self management support to patients, action plan development, arrangement for social support follow-up with a social worker or other community support personnel), Health IT adoption or use, Financial results, Utilization results, Pharmacy management CATALYST FOR PAYMENT REFORM The National Compendium on Payment Reform. National Compendium on Payment Reform is a searchable and sortable, detailed database of private-sector payment reform initiatives across the country—a resource for many stakeholders. Learn more ».

COMPENDIUM SEARCH

Compendium Search. Please choose from the following criteria to search for matching programs within the Compendium database: Name of Payment Reform Program. Organization Name. Program location (s) Not in this market (Identify market in field below) In this market and other markets (Identify markets in ABOUT THE COMPENDIUM The National Compendium on Payment Reform, a resource for employers, plans, providers, journalists and policymakers, is a web-based, searchable and sortable, descriptive database of private-sector payment reform initiatives across the country, . Both the National Scorecard and National Compendium are populated with data from health

plans, which

MY ENTRIES - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG Those who lead payment reform programs and pilots, including medical groups and health plans, are encouraged to populate this Compendium with information about their program.

ABOUT CPR

Catalyst for Payment Reform (CPR) is an independent, non-profit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and to promote higher-value care in the U.S. CPR members have a shared agenda for payment reform along with tools that catalyze change in the marketplace and align public and private-sector DEFINITIONS OF PAYMENT MODEL TERMS Definitions of Payment Model Terms. The following contains definitions of terms used in the Compendium. Refers to a statistical or administrative methodology that attributes a patient population to a provider for the purposes of calculating health care costs/savings or

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Health IT adoption or use, Utilization results

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Application of specific medical home practices (e.g., intensive self

PROGRAM DETAILS

Appropriate maternity care, Longitudinal efficiency relative to target or peers, Application of specific medical home practices (e.g., intensive self management support to patients, action plan development, arrangement for social support follow-up with a social worker or other community support personnel), Health IT adoption or use, Financial results, Utilization results, Pharmacy management LOGIN - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG �2016 Catalyst for Payment Reform. All rights reserved. This project was made possible with support from The Commonwealth Fund and the California Healthcare Foundation

ALL PROGRAMS

Program Name: Program Location : Accountable Cancer Care Advanced Medical Specialties, Baptist Health, and Florida Blue: Only in this market: FL: View Full Record >

ABOUT CPR

Catalyst for Payment Reform (CPR) is an independent, non-profit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and to promote higher-value care in the U.S. CPR members have a shared agenda for payment reform along with tools that catalyze change in the marketplace and align public and private-sector MY ENTRIES - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG Those who lead payment reform programs and pilots, including medical groups and health plans, are encouraged to populate this Compendium with information about their program.

RESULTS/REPORTS

Results/Reports. By clicking on the “All Programs” link at the left-hand side of this page, you can see all current entries in the National Compendium on Payment Reform. Entries are sortable by program name, geography, sponsor organization, etc. You can also view pie chart indicating the payment reform programs by percentage/prevalence.

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV PAYMENT REFORM MODELS BY PREVALENCE �2016 Catalyst for Payment Reform. All rights reserved. This project was made possible with support from The Commonwealth Fund and the California Healthcare Foundation

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Improvement over time of NQF-endorsed Outcomes and/or Process

PROGRAM DETAILS

Effective 1/1/14, program performance measures include: Potentially preventable admissions, potentially preventable readmissions, potentially preventable complications, potentially preventable ER visits, optimal management of diabetes, vascular care, depression, asthma, colon cancer screening and

PROGRAM DETAILS

Appropriate maternity care, Longitudinal efficiency relative to target or peers, Application of specific medical home practices (e.g., intensive self management support to patients, action plan development, arrangement for social support follow-up with a social worker or other community support personnel), Health IT adoption or use, Financial results, Utilization results, Pharmacy management CATALYST FOR PAYMENT REFORM The National Compendium on Payment Reform. National Compendium on Payment Reform is a searchable and sortable, detailed database of private-sector payment reform initiatives across the country—a resource for many stakeholders. Learn more ».

COMPENDIUM SEARCH

Compendium Search. Please choose from the following criteria to search for matching programs within the Compendium database: Name of Payment Reform Program. Organization Name. Program location (s) Not in this market (Identify market in field below) In this market and other markets (Identify markets in ABOUT THE COMPENDIUM The National Compendium on Payment Reform, a resource for employers, plans, providers, journalists and policymakers, is a web-based, searchable and sortable, descriptive database of private-sector payment reform initiatives across the country, . Both the National Scorecard and National Compendium are populated with data from health

plans, which

MY ENTRIES - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG Those who lead payment reform programs and pilots, including medical groups and health plans, are encouraged to populate this Compendium with information about their program.

ABOUT CPR

Catalyst for Payment Reform (CPR) is an independent, non-profit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and to promote higher-value care in the U.S. CPR members have a shared agenda for payment reform along with tools that catalyze change in the marketplace and align public and private-sector DEFINITIONS OF PAYMENT MODEL TERMS Definitions of Payment Model Terms. The following contains definitions of terms used in the Compendium. Refers to a statistical or administrative methodology that attributes a patient population to a provider for the purposes of calculating health care costs/savings or

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Health IT adoption or use, Utilization results

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Application of specific medical home practices (e.g., intensive self

PROGRAM DETAILS

Appropriate maternity care, Longitudinal efficiency relative to target or peers, Application of specific medical home practices (e.g., intensive self management support to patients, action plan development, arrangement for social support follow-up with a social worker or other community support personnel), Health IT adoption or use, Financial results, Utilization results, Pharmacy management CATALYST FOR PAYMENT REFORM The National Compendium on Payment Reform. National Compendium on Payment Reform is a searchable and sortable, detailed database of private-sector payment reform initiatives across the country—a resource for many stakeholders. Learn more ».

COMPENDIUM SEARCH

Compendium Search. Please choose from the following criteria to search for matching programs within the Compendium database: Name of Payment Reform Program. Organization Name. Program location (s) Not in this market (Identify market in field below) In this market and other markets (Identify markets in ABOUT THE COMPENDIUM The National Compendium on Payment Reform, a resource for employers, plans, providers, journalists and policymakers, is a web-based, searchable and sortable, descriptive database of private-sector payment reform initiatives across the country, . Both the National Scorecard and National Compendium are populated with data from health

plans, which

MY ENTRIES - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG Those who lead payment reform programs and pilots, including medical groups and health plans, are encouraged to populate this Compendium with information about their program.

ABOUT CPR

Catalyst for Payment Reform (CPR) is an independent, non-profit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and to promote higher-value care in the U.S. CPR members have a shared agenda for payment reform along with tools that catalyze change in the marketplace and align public and private-sector DEFINITIONS OF PAYMENT MODEL TERMS Definitions of Payment Model Terms. The following contains definitions of terms used in the Compendium. Refers to a statistical or administrative methodology that attributes a patient population to a provider for the purposes of calculating health care costs/savings or

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Health IT adoption or use, Utilization results

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Application of specific medical home practices (e.g., intensive self

PROGRAM DETAILS

Appropriate maternity care, Longitudinal efficiency relative to target or peers, Application of specific medical home practices (e.g., intensive self management support to patients, action plan development, arrangement for social support follow-up with a social worker or other community support personnel), Health IT adoption or use, Financial results, Utilization results, Pharmacy management LOGIN - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG �2016 Catalyst for Payment Reform. All rights reserved. This project was made possible with support from The Commonwealth Fund and the California Healthcare Foundation

ALL PROGRAMS

Program Name: Program Location : Accountable Cancer Care Advanced Medical Specialties, Baptist Health, and Florida Blue: Only in this market: FL: View Full Record >

ABOUT CPR

Catalyst for Payment Reform (CPR) is an independent, non-profit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and to promote higher-value care in the U.S. CPR members have a shared agenda for payment reform along with tools that catalyze change in the marketplace and align public and private-sector MY ENTRIES - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG Those who lead payment reform programs and pilots, including medical groups and health plans, are encouraged to populate this Compendium with information about their program.

RESULTS/REPORTS

Results/Reports. By clicking on the “All Programs” link at the left-hand side of this page, you can see all current entries in the National Compendium on Payment Reform. Entries are sortable by program name, geography, sponsor organization, etc. You can also view pie chart indicating the payment reform programs by percentage/prevalence.

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV PAYMENT REFORM MODELS BY PREVALENCE �2016 Catalyst for Payment Reform. All rights reserved. This project was made possible with support from The Commonwealth Fund and the California Healthcare Foundation

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Improvement over time of NQF-endorsed Outcomes and/or Process

PROGRAM DETAILS

Effective 1/1/14, program performance measures include: Potentially preventable admissions, potentially preventable readmissions, potentially preventable complications, potentially preventable ER visits, optimal management of diabetes, vascular care, depression, asthma, colon cancer screening and

PROGRAM DETAILS

Appropriate maternity care, Longitudinal efficiency relative to target or peers, Application of specific medical home practices (e.g., intensive self management support to patients, action plan development, arrangement for social support follow-up with a social worker or other community support personnel), Health IT adoption or use, Financial results, Utilization results, Pharmacy management CATALYST FOR PAYMENT REFORM Catalyst for Payment Reform - National Compendium on Payment Reform. National Scorecard on Payment Reform. The National Scorecard on Payment Reform tracks the status of the private sector’s progress from volume- to value-oriented payment on a national

COMPENDIUM SEARCH

Compendium Search. Please choose from the following criteria to search for matching programs within the Compendium database: Name of Payment Reform Program. Organization Name. Program location (s) Not in this market (Identify market in field below) In this market and other markets (Identify markets in ABOUT THE COMPENDIUM The National Compendium on Payment Reform, a resource for employers, plans, providers, journalists and policymakers, is a web-based, searchable and sortable, descriptive database of private-sector payment reform initiatives across the country, . Both the National Scorecard and National Compendium are populated with data from health

plans, which

DEFINITIONS OF PAYMENT MODEL TERMS Definitions of Payment Model Terms. The following contains definitions of terms used in the Compendium. Refers to a statistical or administrative methodology that attributes a patient population to a provider for the purposes of calculating health care costs/savings or

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Health IT adoption or use, Utilization results

PROGRAM DETAILS

Primary care physicians, RNs/NP and other non-physician providers,

Hospital inpatient

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Application of specific medical home practices (e.g., intensive self

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Utilization results, Pharmacy management

PROGRAM DETAILS

Appropriate maternity care, Longitudinal efficiency relative to target or peers, Application of specific medical home practices (e.g., intensive self management support to patients, action plan development, arrangement for social support follow-up with a social worker or other community support personnel), Health IT adoption or use, Financial results, Utilization results, Pharmacy management CATALYST FOR PAYMENT REFORM Catalyst for Payment Reform - National Compendium on Payment Reform. National Scorecard on Payment Reform. The National Scorecard on Payment Reform tracks the status of the private sector’s progress from volume- to value-oriented payment on a national

COMPENDIUM SEARCH

Compendium Search. Please choose from the following criteria to search for matching programs within the Compendium database: Name of Payment Reform Program. Organization Name. Program location (s) Not in this market (Identify market in field below) In this market and other markets (Identify markets in ABOUT THE COMPENDIUM The National Compendium on Payment Reform, a resource for employers, plans, providers, journalists and policymakers, is a web-based, searchable and sortable, descriptive database of private-sector payment reform initiatives across the country, . Both the National Scorecard and National Compendium are populated with data from health

plans, which

DEFINITIONS OF PAYMENT MODEL TERMS Definitions of Payment Model Terms. The following contains definitions of terms used in the Compendium. Refers to a statistical or administrative methodology that attributes a patient population to a provider for the purposes of calculating health care costs/savings or

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Health IT adoption or use, Utilization results

PROGRAM DETAILS

Primary care physicians, RNs/NP and other non-physician providers,

Hospital inpatient

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Application of specific medical home practices (e.g., intensive self

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Utilization results, Pharmacy management

PROGRAM DETAILS

Appropriate maternity care, Longitudinal efficiency relative to target or peers, Application of specific medical home practices (e.g., intensive self management support to patients, action plan development, arrangement for social support follow-up with a social worker or other community support personnel), Health IT adoption or use, Financial results, Utilization results, Pharmacy management LOGIN - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG �2016 Catalyst for Payment Reform. All rights reserved. This project was made possible with support from The Commonwealth Fund and the California Healthcare Foundation

ALL PROGRAMS

Program Name: Program Location : Accountable Cancer Care Advanced Medical Specialties, Baptist Health, and Florida Blue: Only in this market: FL: View Full Record >

ABOUT CPR

Catalyst for Payment Reform (CPR) is an independent, non-profit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and to promote higher-value care in the U.S. CPR members have a shared agenda for payment reform along with tools that catalyze change in the marketplace and align public and private-sector MY ENTRIES - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG Those who lead payment reform programs and pilots, including medical groups and health plans, are encouraged to populate this Compendium with information about their program.

RESULTS/REPORTS

Results/Reports. By clicking on the “All Programs” link at the left-hand side of this page, you can see all current entries in the National Compendium on Payment Reform. Entries are sortable by program name, geography, sponsor organization, etc. You can also view pie chart indicating the payment reform programs by percentage/prevalence.

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Health IT adoption or use, Utilization results

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Application of specific medical home practices (e.g., intensive self

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Improvement over time of NQF-endorsed Outcomes and/or Process

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Utilization results, Pharmacy management

PROGRAM DETAILS

Appropriate maternity care, Longitudinal efficiency relative to target or peers, Application of specific medical home practices (e.g., intensive self management support to patients, action plan development, arrangement for social support follow-up with a social worker or other community support personnel), Health IT adoption or use, Financial results, Utilization results, Pharmacy management CATALYST FOR PAYMENT REFORM The National Compendium on Payment Reform. National Compendium on Payment Reform is a searchable and sortable, detailed database of private-sector payment reform initiatives across the country—a resource for many stakeholders. Learn more ».

COMPENDIUM SEARCH

Compendium Search. Please choose from the following criteria to search for matching programs within the Compendium database: Name of Payment Reform Program. Organization Name. Program location (s) Not in this market (Identify market in field below) In this market and other markets (Identify markets in ABOUT THE COMPENDIUM The National Compendium on Payment Reform, a resource for employers, plans, providers, journalists and policymakers, is a web-based, searchable and sortable, descriptive database of private-sector payment reform initiatives across the country, . Both the National Scorecard and National Compendium are populated with data from health

plans, which

ABOUT CPR

Catalyst for Payment Reform (CPR) is an independent, non-profit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and to promote higher-value care in the U.S. CPR members have a shared agenda for payment reform along with tools that catalyze change in the marketplace and align public and private-sector

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV DEFINITIONS OF PAYMENT MODEL TERMS Definitions of Payment Model Terms. The following contains definitions of terms used in the Compendium. Refers to a statistical or administrative methodology that attributes a patient population to a provider for the purposes of calculating health care costs/savings or

ALL PROGRAMS

Program Name: Program Location : Blue Distinction Specialty Networks: Only in this market: FL: View Full Record > Blue KC's Medical Home Program: Only in this market: MO

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Health IT adoption or use, Utilization results

PROGRAM DETAILS

Appropriate maternity care, Longitudinal efficiency relative to target or peers, Application of specific medical home practices (e.g., intensive self management support to patients, action plan development, arrangement for social support follow-up with a social worker or other community support personnel), Health IT adoption or use, Financial results, Utilization results, Pharmacy management

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Application of specific medical home practices (e.g., intensive self CATALYST FOR PAYMENT REFORM The National Compendium on Payment Reform. National Compendium on Payment Reform is a searchable and sortable, detailed database of private-sector payment reform initiatives across the country—a resource for many stakeholders. Learn more ».

COMPENDIUM SEARCH

Compendium Search. Please choose from the following criteria to search for matching programs within the Compendium database: Name of Payment Reform Program. Organization Name. Program location (s) Not in this market (Identify market in field below) In this market and other markets (Identify markets in ABOUT THE COMPENDIUM The National Compendium on Payment Reform, a resource for employers, plans, providers, journalists and policymakers, is a web-based, searchable and sortable, descriptive database of private-sector payment reform initiatives across the country, . Both the National Scorecard and National Compendium are populated with data from health

plans, which

ABOUT CPR

Catalyst for Payment Reform (CPR) is an independent, non-profit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and to promote higher-value care in the U.S. CPR members have a shared agenda for payment reform along with tools that catalyze change in the marketplace and align public and private-sector

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV DEFINITIONS OF PAYMENT MODEL TERMS Definitions of Payment Model Terms. The following contains definitions of terms used in the Compendium. Refers to a statistical or administrative methodology that attributes a patient population to a provider for the purposes of calculating health care costs/savings or

ALL PROGRAMS

Program Name: Program Location : Blue Distinction Specialty Networks: Only in this market: FL: View Full Record > Blue KC's Medical Home Program: Only in this market: MO

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Health IT adoption or use, Utilization results

PROGRAM DETAILS

Appropriate maternity care, Longitudinal efficiency relative to target or peers, Application of specific medical home practices (e.g., intensive self management support to patients, action plan development, arrangement for social support follow-up with a social worker or other community support personnel), Health IT adoption or use, Financial results, Utilization results, Pharmacy management

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Application of specific medical home practices (e.g., intensive self

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV

RESULTS/REPORTS

Results/Reports. By clicking on the “All Programs” link at the left-hand side of this page, you can see all current entries in the National Compendium on Payment Reform. Entries are sortable by program name, geography, sponsor organization, etc. You can also view pie chart indicating the payment reform programs by percentage/prevalence.

PROGRAM DETAILS

Effective 1/1/14, program performance measures include: Potentially preventable admissions, potentially preventable readmissions, potentially preventable complications, potentially preventable ER visits, optimal management of diabetes, vascular care, depression, asthma, colon cancer screening and

ALL PROGRAMS

Program Name: Program Location : Accountable Cancer Care Advanced Medical Specialties, Baptist Health, and Florida Blue: Only in this market: FL: View Full Record > PAYMENT REFORM MODELS BY PREVALENCE �2016 Catalyst for Payment Reform. All rights reserved. This project was made possible with support from The Commonwealth Fund and the California Healthcare Foundation

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Improvement over time of NQF-endorsed Outcomes and/or Process

PROGRAM DETAILS

Primary care physicians, RNs/NP and other non-physician providers,

Hospital inpatient

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Patient experience, Financial results

TERMS OF USE

�2016 Catalyst for Payment Reform. All rights reserved. This project was made possible with support from The Commonwealth Fund and the California Healthcare Foundation CATALYST FOR PAYMENT REFORM The National Compendium on Payment Reform. National Compendium on Payment Reform is a searchable and sortable, detailed database of private-sector payment reform initiatives across the country—a resource for many stakeholders. Learn more ».

COMPENDIUM SEARCH

Compendium Search. Please choose from the following criteria to search for matching programs within the Compendium database: Name of Payment Reform Program. Organization Name. Program location (s) Not in this market (Identify market in field below) In this market and other markets (Identify markets in ABOUT THE COMPENDIUM The National Compendium on Payment Reform, a resource for employers, plans, providers, journalists and policymakers, is a web-based, searchable and sortable, descriptive database of private-sector payment reform initiatives across the country, . Both the National Scorecard and National Compendium are populated with data from health

plans, which

ABOUT CPR

Catalyst for Payment Reform (CPR) is an independent, non-profit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and to promote higher-value care in the U.S. CPR members have a shared agenda for payment reform along with tools that catalyze change in the marketplace and align public and private-sector

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV DEFINITIONS OF PAYMENT MODEL TERMS Definitions of Payment Model Terms. The following contains definitions of terms used in the Compendium. Refers to a statistical or administrative methodology that attributes a patient population to a provider for the purposes of calculating health care costs/savings or

ALL PROGRAMS

Program Name: Program Location : Blue Distinction Specialty Networks: Only in this market: FL: View Full Record > Blue KC's Medical Home Program: Only in this market: MO

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Health IT adoption or use, Utilization results

PROGRAM DETAILS

Appropriate maternity care, Longitudinal efficiency relative to target or peers, Application of specific medical home practices (e.g., intensive self management support to patients, action plan development, arrangement for social support follow-up with a social worker or other community support personnel), Health IT adoption or use, Financial results, Utilization results, Pharmacy management

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Application of specific medical home practices (e.g., intensive self CATALYST FOR PAYMENT REFORM The National Compendium on Payment Reform. National Compendium on Payment Reform is a searchable and sortable, detailed database of private-sector payment reform initiatives across the country—a resource for many stakeholders. Learn more ».

COMPENDIUM SEARCH

Compendium Search. Please choose from the following criteria to search for matching programs within the Compendium database: Name of Payment Reform Program. Organization Name. Program location (s) Not in this market (Identify market in field below) In this market and other markets (Identify markets in ABOUT THE COMPENDIUM The National Compendium on Payment Reform, a resource for employers, plans, providers, journalists and policymakers, is a web-based, searchable and sortable, descriptive database of private-sector payment reform initiatives across the country, . Both the National Scorecard and National Compendium are populated with data from health

plans, which

ABOUT CPR

Catalyst for Payment Reform (CPR) is an independent, non-profit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and to promote higher-value care in the U.S. CPR members have a shared agenda for payment reform along with tools that catalyze change in the marketplace and align public and private-sector

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV DEFINITIONS OF PAYMENT MODEL TERMS Definitions of Payment Model Terms. The following contains definitions of terms used in the Compendium. Refers to a statistical or administrative methodology that attributes a patient population to a provider for the purposes of calculating health care costs/savings or

ALL PROGRAMS

Program Name: Program Location : Blue Distinction Specialty Networks: Only in this market: FL: View Full Record > Blue KC's Medical Home Program: Only in this market: MO

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Health IT adoption or use, Utilization results

PROGRAM DETAILS

Appropriate maternity care, Longitudinal efficiency relative to target or peers, Application of specific medical home practices (e.g., intensive self management support to patients, action plan development, arrangement for social support follow-up with a social worker or other community support personnel), Health IT adoption or use, Financial results, Utilization results, Pharmacy management

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Application of specific medical home practices (e.g., intensive self

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV

RESULTS/REPORTS

Results/Reports. By clicking on the “All Programs” link at the left-hand side of this page, you can see all current entries in the National Compendium on Payment Reform. Entries are sortable by program name, geography, sponsor organization, etc. You can also view pie chart indicating the payment reform programs by percentage/prevalence.

PROGRAM DETAILS

Effective 1/1/14, program performance measures include: Potentially preventable admissions, potentially preventable readmissions, potentially preventable complications, potentially preventable ER visits, optimal management of diabetes, vascular care, depression, asthma, colon cancer screening and

ALL PROGRAMS

Program Name: Program Location : Accountable Cancer Care Advanced Medical Specialties, Baptist Health, and Florida Blue: Only in this market: FL: View Full Record > PAYMENT REFORM MODELS BY PREVALENCE �2016 Catalyst for Payment Reform. All rights reserved. This project was made possible with support from The Commonwealth Fund and the California Healthcare Foundation

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Improvement over time of NQF-endorsed Outcomes and/or Process

PROGRAM DETAILS

Primary care physicians, RNs/NP and other non-physician providers,

Hospital inpatient

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Patient experience, Financial results

TERMS OF USE

�2016 Catalyst for Payment Reform. All rights reserved. This project was made possible with support from The Commonwealth Fund and the California Healthcare Foundation CATALYST FOR PAYMENT REFORM Catalyst for Payment Reform - National Compendium on Payment Reform. National Scorecard on Payment Reform. The National Scorecard on Payment Reform tracks the status of the private sector’s progress from volume- to value-oriented payment on a national LOGIN - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG �2016 Catalyst for Payment Reform. All rights reserved. This project was made possible with support from The Commonwealth Fund and the California Healthcare Foundation

COMPENDIUM SEARCH

Compendium Search. Please choose from the following criteria to search for matching programs within the Compendium database: Name of Payment Reform Program. Organization Name. Program location (s) Not in this market (Identify market in field below) In this market and other markets (Identify markets in ABOUT THE COMPENDIUM The National Compendium on Payment Reform, a resource for employers, plans, providers, journalists and policymakers, is a web-based, searchable and sortable, descriptive database of private-sector payment reform initiatives across the country, . Both the National Scorecard and National Compendium are populated with data from health

plans, which

ABOUT CPR

Catalyst for Payment Reform (CPR) is an independent, non-profit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and to promote higher-value care in the U.S. CPR members have a shared agenda for payment reform along with tools that catalyze change in the marketplace and align public and private-sector MY ENTRIES - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG Those who lead payment reform programs and pilots, including medical groups and health plans, are encouraged to populate this Compendium with information about their program. DEFINITIONS OF PAYMENT MODEL TERMS Definitions of Payment Model Terms. The following contains definitions of terms used in the Compendium. Refers to a statistical or administrative methodology that attributes a patient population to a provider for the purposes of calculating health care costs/savings or

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Health IT adoption or use, Utilization results

ALL PROGRAMS

Program Name: Program Location : Blue Distinction Specialty Networks: Only in this market: FL: View Full Record > Blue KC's Medical Home Program: Only in this market: MO

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Application of specific medical home practices (e.g., intensive self CATALYST FOR PAYMENT REFORM Catalyst for Payment Reform - National Compendium on Payment Reform. National Scorecard on Payment Reform. The National Scorecard on Payment Reform tracks the status of the private sector’s progress from volume- to value-oriented payment on a national LOGIN - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG �2016 Catalyst for Payment Reform. All rights reserved. This project was made possible with support from The Commonwealth Fund and the California Healthcare Foundation

COMPENDIUM SEARCH

Compendium Search. Please choose from the following criteria to search for matching programs within the Compendium database: Name of Payment Reform Program. Organization Name. Program location (s) Not in this market (Identify market in field below) In this market and other markets (Identify markets in ABOUT THE COMPENDIUM The National Compendium on Payment Reform, a resource for employers, plans, providers, journalists and policymakers, is a web-based, searchable and sortable, descriptive database of private-sector payment reform initiatives across the country, . Both the National Scorecard and National Compendium are populated with data from health

plans, which

ABOUT CPR

Catalyst for Payment Reform (CPR) is an independent, non-profit corporation working on behalf of large employers and other health care purchasers to catalyze improvements in how we pay for health services and to promote higher-value care in the U.S. CPR members have a shared agenda for payment reform along with tools that catalyze change in the marketplace and align public and private-sector MY ENTRIES - COMPENDIUM.CATALYZEPAYMENTREFORM.ORG Those who lead payment reform programs and pilots, including medical groups and health plans, are encouraged to populate this Compendium with information about their program. DEFINITIONS OF PAYMENT MODEL TERMS Definitions of Payment Model Terms. The following contains definitions of terms used in the Compendium. Refers to a statistical or administrative methodology that attributes a patient population to a provider for the purposes of calculating health care costs/savings or

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Health IT adoption or use, Utilization results

ALL PROGRAMS

Program Name: Program Location : Blue Distinction Specialty Networks: Only in this market: FL: View Full Record > Blue KC's Medical Home Program: Only in this market: MO

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Application of specific medical home practices (e.g., intensive self

ALL PROGRAMS

Program Name: Program Location : Accountable Cancer Care Advanced Medical Specialties, Baptist Health, and Florida Blue: Only in this market: FL: View Full Record >

ALL PROGRAMS

Program Name: Program Location : Anthem Quality-In-Sights® Hospital Incentive Program (Q-HIP®) In this market and other markets: CA, CO, CT, GA, IN, KY, ME, MO, NV

PROGRAM DETAILS

Primary care physicians, RNs/NP and other non-physician providers,

Hospital inpatient

PROGRAM DETAILS

Effective 1/1/14, program performance measures include: Potentially preventable admissions, potentially preventable readmissions, potentially preventable complications, potentially preventable ER visits, optimal management of diabetes, vascular care, depression, asthma, colon cancer screening and

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Improvement over time of NQF-endorsed Outcomes and/or Process

PROGRAM DETAILS

Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings), Achievement (relative to target or peers) of Clinical outcomes goals(e.g., readmission rate, mortality rate, A1c, cholesterol values under control), Patient experience, Financial results

PROGRAM DETAILS

The Blue Distinction Quality selection process includes an evaluation of structure, processes and clinical outcomes. The criteria are developed in collaboration with medical experts and clinicians across the country representing multiple specialty disciplines (as applicable to the program type) including the American College of Surgeons (ACS), the American Society for Metabolic and Bariatric

TERMS OF USE

�2016 Catalyst for Payment Reform. All rights reserved. This project was made possible with support from The Commonwealth Fund and the California Healthcare Foundation

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