Quality Performance Payment Sample Clauses

Quality Performance Payment. During year one of this Contract, the Department shall withhold one-half of one percent (0.5%) of each Capitation payment. During years two and three, the withhold shall be one percent (1%) of each Capitation payment. These funds will be used to make quality performance payments to assess performance of certain quality of care indicators. The quality performance payments will be made as follows: (a) Calendar year 2005 HEDIS Scores will be used as the baseline to measure improvement in calendar year 2006 HEDIS Scores to determine quality performance payments made following the end of Contract year one. For years two and three of the Contract, the HEDIS Scores measurement year will be 2007 and 2008, respectively. The previous year's score will be the baseline for each year. The lack of a HEDIS Score for a particular measure for either a baseline year or a measurement year will result in the withheld amount for the measurement year being retained by the Department. (b) The HEDIS measures used to determine the quality performance payments are: • Childhood Immunization Status - Combo 2; • Well-Child Visits in the First 15 Months of Life - 6 or more Visits; • Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life; • Breast Cancer Screening; • Cervical Cancer Screening; • Timeliness of Prenatal Care; • Use of Appropriate Medications for People with Asthma - Ages Combined; and • Comprehensive Diabetes Care - HbA 1 C Testing. The Department may, in its sole discretion, revise the quality performance payment measures. The Department will notify the Contractor of such revision at least two (2) months prior to the beginning of the calendar year on which the measurement will be based. Any measures used will be a subset of those listed in Exhibit A, paragraph 13. (c) Funds withheld from the Contractor that are not paid out through quality performance payments will be retained by the Department. (d) If the Contract is terminated on a date when the Department has withheld fees for a measurement year that has not ended, ▇▇▇▇▇ scores will be calculated based on the twelve (12) months of operation prior to termination. Any expense for such a measurement will be borne by the Contractor. (e) One-eighth of the withheld money will be allotted to each measure in this Section 7.8(b). The withheld amount for each measure will be paid to the Contractor if the Contractor achieves the improvement in HEDIS score required for that measure as follows: (1) If the Contractor...