In addition to the CRP Reporting requirements described in the Participation Agreement, hospitals’ CCIP CRP Reports will include the following required metrics: Category Required Metrics Data Source Eligible Patients Number of eligible high need patients as defined by hospital Hospital risk stratification method Number of eligible rising need patients as defined by hospital Hospital risk stratification method Enrolled Patients Number of enrolled high need patients as defined by hospital Hospital risk stratification method Number of enrolled rising need patients as defined by Hospital hospital risk stratification method Staffing and Other The ratio of care managers to enrolled patients Hospital Resources Number of PDPs participating in the program Hospital Estimate of the Number of high need patients with a completed care plan Hospital Number of Allowable Number of rising need patients with a completed care plan Hospital CRP Interventions Number of enrolled patients with a documented care alert in CRISP Performed CRISP Percent of high need patients in the program with a Hospital completed Care Plan Percent of rising need patients in the program with a Hospital completed care plan Number of patients that received medication reconciliation as Hospital documented in the care plan Number of patients that completed a provider visit within 7 days of acute discharge Number of patients with more than one care management Hospital phone conversation per month Average number of patients/day that accessed 24/7 patient Hospital access to a care manager number of care interventions received by enrolled Hospital patients (total number of activities reported in this section) Overall Financial Utilization savings defined as the Medicare cost savings a Administrator Performance hospital is deemed to have achieved for a CRP Track through the reduction of potentially avoidable utilization or other cost savings, as determined by the State in accordance with the Model Amendment. Total intervention resources expended for the CCIP program, Hospital by PDP care partners or PGP care partner CCIP Incentive Payment Approach CCIP provides hospitals the option to share average projected per beneficiary cost savings with PDPs who perform CRP interventions resulting in hospital savings. For hospitals opting to provide incentives payments to PDPs, the CCIP administrator will apply the following approach for identifying eligible PDPs, calculating the size of the incentive pool, and determining the PDP incentive payment amounts.
In addition to the CRP Reporting requirements described in the Participation Agreement, hospitals’ CCIP CRP Reports will include the following required metrics: Category Required Metrics Data Source Eligible Patients Number of eligible high need patients as defined by hospital risk stratification method Hospital Number of eligible rising need patients as defined by hospital risk stratification method Hospital Enrolled Patients Number of enrolled high need patients as defined by hospital risk stratification method Hospital Number of enrolled rising need patients as defined by hospital risk stratification method Hospital Staffing and Other Resources The ratio of care managers to enrolled patients Hospital Number of PDPs participating in the program Hospital Estimate of the Number of Allowable CRP Interventions Performed Number of high need patients with a completed care plan Hospital Number of rising need patients with a completed care plan Hospital Number of enrolled patients with a documented care alert in CRISP CRISP Percent of high need patients in the program with a completed Care Plan Hospital Percent of rising need patients in the program with a completed care plan Hospital Number of patients that received medication reconciliation as documented in the care plan Hospital Number of patients that completed a provider visit within 7 days of acute discharge Number of patients with more than one care management phone conversation per month Hospital Average number of patients/day that accessed 24/7 patient access to a care manager Hospital number of care interventions received by enrolled patients (total number of activities reported in this section) Hospital Overall Financial Performance Utilization savings defined as the Medicare cost savings a hospital is deemed to have achieved for a CRP Track through the reduction of potentially avoidable utilization or other cost savings, as determined by the State in accordance with the Model Amendment. Administrator Total intervention resources expended for the CCIP program, by PDP care partners or PGP care partner Hospital CCIP Incentive Payment Approach CCIP provides hospitals the option to share average projected per beneficiary cost savings with PDPs who perform CRP interventions resulting in hospital savings. For hospitals opting to provide incentives payments to PDPs, the CCIP administrator will apply the following approach for identifying eligible PDPs, calculating the size of the incentive pool, and determining the PDP incentive payment amounts.