5: HOSPITAL Specialists SERVICES Provide the Dollars. Percent. Percent. Multi, For 2 total N/A OK. N/A OK. N/A OK. comparison. dollars paid Unknown to 1: ACO, Note: 2: PCMH, providers Percentages 3: Medical through provided in Groups/IPAs traditional this row do FFS 4: Primary not total Care, payments 100% 5: in CY 2015 Specialists or most recent 12 months Provide the Dollars. Percent. Percent. Multi, For 3 total N/A OK. N/A OK. N/A OK. comparison. dollars paid Unknown to 1: ACO, Note: 2: PCMH, providers Percentages 3: Medical through provided in Groups/IPAs bundled this row do payment 4: Primary not total Care, programs 100% 5: without Specialists quality in CY 2015 or most recent 12 months Provide the Dollars. Percent. Percent. Multi, For 4 total N/A OK. N/A OK. N/A OK. comparison. dollars paid Unknown to 1: ACO, Note: 2: PCMH, providers Percentages 3: Medical through provided in Groups/IPAs partial or this row do 4: Primary Care,
Groups/IPAs Groups/IPAs Groups/IPAs HOSPITAL SERVICES 5: Specialists Provide the total dollars paid to providers through traditional FFS payments in CY 2015 or most recent 12 months Dollars. N/A OK. Percent. N/A OK. Percent. N/A OK. Multi, 1: ACO, 2: PCMH, 3: Medical 4: Primary Care, 5: Specialists For comparison. Unknown Note: Percentages provided in this row do not total 100% 2 Provide the total dollars paid to providers through bundled payment programs without quality in CY 2015 or most recent 12 months Dollars. N/A OK. Percent. N/A OK. Percent. N/A OK. Multi, 1: ACO, 2: PCMH, 3: Medical 4: Primary Care, 5: Specialists For comparison. Unknown Note: Percentages provided in this row do not total 100% 3 Provide the total dollars paid to providers through partial or Dollars. N/A OK. Percent. N/A OK. Percent. N/A OK. Multi, 1: ACO, 2: PCMH, 3: Medical 4: Primary Care, For comparison. Unknown Note: Percentages provided in this row do 4
Qualified%20Health%20Plan%20Certification%20Application%20Fourth%20Quarter%202017%20Smal....docx