Achievement Points Clause Samples
The Achievement Points clause establishes a system for tracking and rewarding specific accomplishments or milestones within an agreement or program. Typically, it outlines how points are earned, what actions or results qualify for points, and how these points may be redeemed or recognized, such as through bonuses, awards, or progression to new levels. This clause serves to incentivize desired behaviors or performance, providing a clear and measurable way to motivate participants and recognize achievements.
Achievement Points. For each measure in pay-for-performance status in BP3, the State will decide whether to set the individual ACOs’ BP3 measure performance rates to 1) the higher of the ACOs’ BP3 or Budget Period 2 (BP2) actual measure rates, or 2) the higher of the ACO’s BP2 actual rates or the statewide median rates (i.e., measure level median performance among all ACOs) in BP2. If the State determines BP3 measure performance rates by comparing the individual ACOs’ BP2 actual rates to BP3 actual rates, then ACOs earn achievement points following the scoring approach set forth in Section 2.3.1. If the State determines BP3 measure performance rates by comparing individual ACOs’ BP2 actual rates to the BP2 statewide median rates, then: • For measures where an ACO demonstrates a higher BP2 rate than the BP2 statewide median, the ACO earns achievement points based on its own rate, following the scoring approach set forth in Section 2.3.1 • For measures where the statewide median demonstrates a higher rate than the ACO’s own rate, the ACO earns achievement points based on the statewide median, following the scoring approach set forth in Section 2.3.1 • In order to prevent such cases where an ACO’s measure performance rate would improve excessively through the use of the statewide median, the number of raw (i.e., percentage) points an ACO may earn when replacing an ACO actual measure rate with that of the statewide median rate is capped at 10 raw points EXHIBIT 6 - BP3 Measure Rate Calculation with Raw Point Cap = 10.0 A 73.0% 74.0% 74.0% No B 73.0% 70.0% 73.0% No C 73.0% 80.0% 80.0% No D 73.0% 84.0% 83.0%* Yes *BP3 Performance Rate ‘capped’ at 83.0% (i.e., 73.0% + maximum allowance of 10.0 raw points, using BP2 state median) Results from the ‘Performance Rate Used for BP3’ column are then compared to measure benchmarks for the calculation of Achievements Points, following the scoring approach described in Section 2.3.1
Achievement Points. For each composite in the Overall Care Delivery domain, the State will decide whether to set the individual ACOs’ BP3 performance rates to 1) the higher of their BP1 or BP2 actual rates, or 2) the higher of their BP2 or BP3 actual rates. Regardless of which comparison the State decides to use, the rate selected will be used not just for the BP3 performance rates, but also the BP2 performance rates, given that the timing of BP2 data collection (i.e., January through May of 2020) could lead to BP2 actual rates being variably impacted across ACOs as a result of the state of emergency declared by the federal or state government. Upon determination of the ACOs’ BP2 and BP3 performance rates, achievements points will be determined following the process set forth in Section 2.3.1. EXHIBIT 8 Example of Member Experience Calculation When Deciding Between BP1 and BP2 Actual Rates ACO A 85% 87.0 % 87.0% ACO B 9% 87.0% 89.0%
Achievement Points. The Contractor may receive up to a maximum of ten (10) achievement points for each Quality Measure, as follows:
1. EOHHS will establish an “attainment threshold” and a “goal benchmark” for each Quality Measure
a. “Attainment threshold” sets the minimum level of performance at which the contractor can earn achievement points
b. “Goal benchmark” is a high performance standard above which the Contractor earns the maximum number of achievement points (i.e. 10 points)
2. EOHHS will calculate the Contractor’s performance score on the Quality Measure based on the measure specifications
3. EOHHS will award the Contractor between zero (0) and ten (10) achievement points as follows:
a. If the Contractor’s performance score is less than the attainment threshold: 0 achievement points
b. If the Contractor’s performance score is greater than or equal to the goal benchmark: 10 achievement points
c. If the performance score is between the attainment threshold and goal benchmark: achievement points earned are determined by the formula:
Achievement Points. The Contractor may receive up to a maximum of ten (10) achievement points for each Quality Measure, as follows:
1. EOHHS will establish an “attainment threshold” and a “goal benchmark” for each Quality Measure
a. “Attainment threshold” sets the minimum level of performance at which the contractor can earn achievement points
b. “Goal benchmark” is a high performance standard above which the Contractor earns the maximum number of achievement points (i.e., 10 points)