8: FFS-based non-visit functions, 9: Non-FFS-based functions, 10: Non-payment for specific services associated with HACs (healthcare acquired conditions also known as hospital-acquired conditions) that were preventable or services that were unnecessary, 11: Other non-FFS based payment reform models (provide details in next column) Which base Single, Radio group. 50 payment 1: Capitation without methodology does quality, your program use? 2: Salary, 3: Bundled or payment without quality, 4: FFS (includes discounted fees, fixed fees, indexed fees), 5: Per diem, 6: DRG, 7: Percent of charges, 8: Other - (provide details in next column) What types of Multi, Checkboxes. 50 words. providers are 1: Primary care participating in your physicians, program? 2: Physician Specialists (e.g., Oncology, Cardiology, etc.) – describe in next column, 3: RNs/NP and other non-physician providers, 4: Hospital inpatient, 5: Other - (provide details in next column) If you have a Multi, Checkboxes. 65 words. payment reform 1: N/A, that includes 2: Ambulatory care policies on sensitive admissions,
8: FFS-based non-visit functions, 9: Non-FFS-based functions, 10: Non-payment for specific services associated with HACs (healthcare acquired conditions also known as hospital-acquired conditions) that were preventable or services that were unnecessary, 11: Other non-FFS based payment reform models (provide details in next column) Which base payment methodology does your program use? Single, Radio group. 1: Capitation without quality, 2: Salary, 3: Bundled or payment without quality, 4: FFS (includes discounted fees, fixed fees, indexed fees), 5: Per diem, 6: DRG, 7: Percent of charges, 8: Other - (provide details in next column) 50 What types of providers are participating in your program? Multi, Checkboxes. 1: Primary care physicians, 2: Physician Specialists (e.g., Oncology, Cardiology, etc.) – describe in next column, 3: RNs/NP and other non-physician providers, 4: Hospital inpatient, 5: Other - (provide details in next column) 50 words. If you have a payment reform that includes policies on Multi, Checkboxes. 1: N/A, 2: Ambulatory care sensitive admissions, 65 words.
2017-QHP-Certification-Application-DRAFT-1-21-16.docx