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Key Components Of The Alternative Quality Contract Model

Key Components Of The Alternative Quality Contract Model. Initial global payment level based on health status adjusted regional network averages Inflation factor derived from CPI

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Key Components Of The Alternative Quality Contract Model

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  1. Key Components Of The Alternative Quality Contract Model • Initial global payment level based on health status adjusted regional network averages • Inflation factor derived from CPI • Providers benefit from this model by a) achieving high performance on quality and safety metrics and b) driving efficiencies while managing to a global payment level • Customers benefit from this model due to more predictable and controlled trend • Full payment of the incentive is based on achieving “Gate 5” performance on all measures in a given year • Partial payment will be based on achieving performance levels along a continuum Performance Expanded Margin Opportunity Inflation Efficiency Opportunity INITIAL GLOBAL PAYMENT LEVEL

  2. FMA Medical Practice Pattern Tool (example) Hypertension Treatment Costs per Episode (illustration only)

  3. FMA Medical Practice Pattern Tool (example) Hypertension Treatment Pattern Variation

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