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 field below)
Only in this market (Identify market in field below)
Market(s) (Ctrl-Click for multiple states) 
 
Lines of business 
  Self-insured commercial
Fully-insured commercial
Medicare
Medicaid
Other (please describe below)
Stage of implementation 
  Planning mode
Pilot mode (e.g. only available for a subset of members and/or providers)
Expansion mode (e.g. passed initial pilot stage and broadening reach)
Full implementation (e.g. available to all intended/applicable providers and members)
Date of Implementation 
 
Payment reform model alignment 
  Shared-risk (other than bundled payment) and/or gainsharing with quality
FFS-based Shared-savings with quality
Non-FFS-based Shared-savings with quality
FFS plus pay for performance
Full capitation with quality
Partial or condition-specific capitation with quality
Bundled payment with quality
FFS-based non-visit functions
Non-FFS-based non-visit functions
Non-payment for specific services associated with HACs (healthcare acquired conditions also known as hospital-acquired conditions) that were preventable or services that were unnecessary
Other (please describe below)
Base payment methodology 
  Capitation without quality
Salary
Bundled or episode-based payment without quality
FFS (includes discounted fees, fixed fees, indexed fees)
Per diem
DRG
Percent of charges
Other (please describe below)
Participating provider types 
  Primary care physicians
Physician Specialists (e.g., Oncology, Cardiology, etc.)
RNs/NP and other non-physician providers
Hospital inpatient
Other (please describe below)
Related outcomes for policies on non-payment for specific services associated with complications that were preventable or services that were unnecessary 
  N/A
Ambulatory care sensitive admissions
Healthcare acquired conditions (HACs) also known as hospital-acquired conditions
Preventable Admissions
Serious Reportable Events (SREs) that are not HACs
Never Events
Early elective induction or cesarean
Other (please describe below)
Performance measures used 
  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)
Type(s) of benefit and/or provider network design features that create member incentives or disincentives to support the payment reform program 
  Mandatory use of Centers of Excellence (COE) or higher performing providers
Financial incentives (lower premium, waived/lower co-pays) for members to use COE/higher performance providers
Financial disincentives for members to use non-COE or lower performing providers (e.g., higher co-pays, etc.)
Use of tiered/high performance or narrow networks
Objective information (e.g., performance measure results) provided on COEs to members, providing evidence of higher-quality care rendered by these providers
No active steerage
No COE or high performing providers program
Other (please describe below)
Information transparency 
  We report to the general public
We report to our network providers (e.g. hospitals and physicians)
We report to patients of our network providers
We do not report performance on quality measures
We report to state or community data collection processes such as all-payer claims databases (APCDs), or AF4Q sites
Other (please describe below)
Evaluation and results for program 
  Program not evaluated yet
Program evaluation by external third party
Program evaluation by insurer
Evaluation method used pre/post
Evaluation method used matched control group
Evaluation method used randomized control trial
Other (please describe below)