Name of Payment Reform Program |
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Organization Name |
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Program location(s) |
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Market(s) (Ctrl-Click for multiple states) |
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Lines of business |
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Other line of business |
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Stage of implementation |
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Date of Implementation |
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Payment reform model alignment |
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Other non-FSS based reform models |
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Base payment methodology |
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Other base payment methodology |
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Participating provider types |
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Other types of providers |
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Related outcomes for policies on non-payment for specific services associated with complications that were preventable or services that were unnecessary |
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Other outcomes referenced |
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Performance measures used |
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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 measures
PATIENT SAFETY (e.g., Leapfrog, AHRQ, medication related safety issues)
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)
Patient experience
Health IT adoption or use
Financial results
Utilization results
Pharmacy management
Other (please describe below) |
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Other performance measures |
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Type(s) of benefit and/or provider network design features that create member incentives or disincentives to support the payment reform program |
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Other features |
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Information transparency |
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Other information transparency |
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Evaluation and results for program |
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Other evaluation methodology |
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