dollars paid to payment (As above) (As (As (As above) (As reform programs NOT based above) on FFS. AUTOSUM ROWS 7, 9, 11-13, 15 and 16 8.4.12.10 Based on your responses above, on an aggregate basis for the plan’s total California book of business in the market of your response, indicate the relative weighting or allocation of the Plan's financial incentives for hospital services, and which payment approaches, if any, the Health plan is using currently to tie payment to performance If the relative weighting varies by contract, describe the most prevalent allocation. The Plan's response should total 100.00% within each column. Enter 0.00% if incentives not use. Hospital Services Estimate of Type of Payment Approach Allocation of where Incentive of payments other (see question Achievement (relative to Percent. Single, Checkboxes. 65 target or peers) of Clinical 1: Shared-risk (other than words. process goals (e.g., bundled payment) and/or prophylactic antibiotic list. gainsharing with quality, administration, timeliness of 1: 2: FFS-based medication administration, HMO, with quality, testing, screenings) 2: 3: Non-FFS-based PPO, with quality, 3: Both 4: FFS plus pay for HMO performance, and 5: Full capitation with quality, PPO, 6: Partial or 4: Not capitation with quality, 7: Bundled payment with quality, 8: FFS-based non-visit functions, 9: Non-FFS-based non-visit functions, 10: Non-payment policy for specific services associated with hospital-acquired conditions that were preventable or services that were unnecessary, 11: Other non-FFS based
dollars paid to payment reform programs NOT based on FFS. AUTOSUM ROWS 7, 9, 11-13, 15 and 16 (As above) (As (As (As above) (As above) 8.4.12.10 Based on your responses above, on an aggregate basis for the plan’s total California book of business in the market of your response, indicate the relative weighting or allocation of the Plan's financial incentives for hospital services, and which payment approaches, if any, the Health plan is using currently to tie payment to performance If the relative weighting varies by contract, describe the most prevalent allocation. The Plan's response should total 100.00% within each column. Enter 0.00% if incentives not use. Hospital Services Estimate of Allocation of Incentive payments (see question where Type of Payment Approach of other Achievement (relative to target or peers) of Clinical process goals (e.g., prophylactic antibiotic administration, timeliness of medication administration, testing, screenings) Percent. Single, list. 1: HMO, 2: PPO, 3: Both HMO and PPO, 4: Not Checkboxes. 1: Shared-risk (other than bundled payment) and/or gainsharing with quality, 2: FFS-based with quality, 3: Non-FFS-based with quality, 4: FFS plus pay for performance, 5: Full capitation with quality, 6: Partial or capitation with quality, 7: Bundled payment with quality, 8: FFS-based non-visit functions, 9: Non-FFS-based non-visit functions, 10: Non-payment policy for specific services associated with hospital-acquired conditions that were preventable or services that were unnecessary, 11: Other non-FFS based 65 words.