do not total 100% incentive program not captured above and NOT based on FFS Total For comparison. Percent. Percent. Percent. Multi, For 17 dollars $0.00 paid to 1: ACO, payment Unknown 2: PCMH, reform Note: 3: Medical programs Percentage based on provided FFS. in this row do not total one hundred percent Total For comparison. Percent. Percent. Percent. Multi, For 18 dollars $0.00 paid to payment 1: ACO, Unknown 2: PCMH, reform Note: 3: Medical programs Percentage NOT provided based on in this row FFS. do not total one hundred percent 9.4.12.7.1.2 Based on your responses above, on an aggregate basis for the plan’s book of business in the market of your response, indicate the relative weighting or allocation of the Plan's financial incentives for outpatient services (no associated hospital charges), and which payment approaches, if any, the Contractor 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 used. Estimate of Product Type of Payment Description allocation of where Approach of other
incentive program not captured above and NOT based on FFS do not total 100% Total dollars paid to payment reform programs based on FFS. For comparison. $0.00 Percent. Percent. Percent. Multi, 1: ACO, 2: PCMH, 3: Medical For Unknown Note: provided in this row do not total one hundred percent 17 Total dollars paid to payment reform programs NOT based on FFS. For comparison. $0.00 Percent. Percent. Percent. Multi, 1: ACO, 2: PCMH, 3: Medical For Unknown Note: provided in this row do not total one hundred percent 18 9.4.12.7.1.2 Based on your responses above, on an aggregate basis for the plan’s book of business in the market of your response, indicate the relative weighting or allocation of the Plan's financial incentives for outpatient services (no associated hospital charges), and which payment approaches, if any, the Contractor 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 used. Estimate of allocation of Product where Type of Payment Approach Description of other Percentage Percentage
Qualified%20Health%20Plan%20Certification%20Application%20Fourth%20Quarter%202017%20Smal....docx