in CY 2015 or most recent 12 months. Provide Dollars. Percent. Percent. Percent. Multi, For 12 the total N/A OK. N/A OK. N/A OK. N/A OK. dollars From 0 to paid to 10000000000000000. 1: ACO, Unknown 2: PCMH, providers Note: 3: Medical through partial or provided in this row do not capitation total 100% programs with quality in CY 2015 or most recent 12 months Provide Dollars. Percent. Percent. Percent. Multi, For 13 the total N/A OK. N/A OK. N/A OK. N/A OK. dollars From 0 to 1: ACO, paid to 10000000000000000. Unknown 2: PCMH, providers Note: 3: Medical through bundled provided payment in this row programs do not with total 100% quality CY 2015 or most recent 12 months
in CY 2015 or most recent 12 months. Provide the total dollars paid to providers through partial or capitation programs with quality in CY 2015 or most recent 12 months Dollars. N/A OK. From 0 to 10000000000000000. Percent. N/A OK. Percent. N/A OK. Percent. N/A OK. Multi, 1: ACO, 2: PCMH, 3: Medical For Unknown Note: provided in this row do not total 100% 12 Provide the total dollars paid to providers through bundled payment programs with quality CY 2015 or most recent 12 months Dollars. N/A OK. From 0 to 10000000000000000. Percent. N/A OK. Percent. N/A OK. Percent. N/A OK. Multi, 1: ACO, 2: PCMH, 3: Medical For Unknown Note: provided in this row do not total 100% 13
Qualified%20Health%20Plan%20Certification%20Application%20Fourth%20Quarter%202017%20Smal....docx