Provide Dollars. Percent. Percent. Percent. Multi, For 5 the total N/A OK. N/A OK. N/A OK. N/A OK. dollars 1: ACO, paid to Unknown 2: PCMH, providers Note: 3: Medical through fully provided capitated in this row programs do not without total 100% quality in CY 2015 or most recent 12 months Subtotal: For comparison. Percent. Percent. Percent. Multi, For 6 Dollars $0.00 paid out 1: ACO, under the Unknown 2: PCMH, status Note: 3: Medical quo: total dollars provided paid in this row through do not total 100% payment methods in CY 2015 for primary care and specialty services services for which there is NO HOSPITAL CHARGE)
Provide the total dollars paid to providers through fully capitated programs without quality in CY 2015 or most recent 12 months Dollars. N/A OK. 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% 5 Subtotal: Dollars paid out under the status quo: total dollars paid through payment methods in CY 2015 for primary care and specialty services services for which there is NO HOSPITAL CHARGE) For comparison. $0.00 Percent. Percent. Percent. Multi, 1: ACO, 2: PCMH, 3: Medical For Unknown Note: provided in this row do not total 100% 6
Qualified%20Health%20Plan%20Certification%20Application%20Fourth%20Quarter%202017%20Smal....docx