Value-Based Purchasing. At its option, DOM may implement a value-based purchasing within CHIP. DOM reserves the right to phase in implementation of a value-based purchasing model beginning with a performance incentive program. Should DOM move forward with such an effort, DOM will provide operational protocols describing the process for selecting priority areas, measures, and targets, Contractor expectations, and DOM responsibilities prior to implementation. If implemented, the value-based purchasing model will require the participation of key Contractor staff, including the Medical Director, in regular meetings with DOM staff. The value-based purchasing model may lead to the creation of subcommittees to current Managed Care Program Quality Committees, referenced in Section 9.A, General Requirements, of this Contract. Contractor will have an opportunity to provide recommendations on selections for priority areas, measures, and targets based on the results of gaps analysis and root cause analyses performed by Contractor. DOM will have final authority on the selection of priority areas, measures, and targets, which Contractor will be required to comply.
Appears in 2 contracts
Sources: Contract for Administration of the Children’s Health Insurance Program, Contract for Administration of the Children’s Health Insurance Program