VBP definition
Examples of VBP in a sentence
The CONTRACTOR shall establish a process for Providers in VBP arrangements to have access to data that provides information about Members’ utilization of services, including total cost of care on a quarterly basis.
At least five percent (5%) of the overall total Contract Year Percentages in Levels 2 and/or Level 3 VBP contracting must be with high volume hospitals and require avoidable readmission reduction targets.
VBP Models define a way to organize and deliver care, and may incorporate one or more VBP Payment Strategies as ways to pay providers.
Full Delegation of Care Coordination within Level 3 VBP arrangements as outlined in definitions below.
Full Delegation of Care Coordination within Level 3 VBP arrangements are tied to Level 3 full risk Providers and with Health Homes.
The Contractor shall work collaboratively with the Department and other MCOs to develop, implement, and execute the VBP model, for which the Department has final approval on design.
When the VBP model is implemented, the Contractor shall review and provide real-time information focused on the initiatives it is undertaking to achieve required targets on a monthly and quarterly basis and submit reports annually based on agreed upon reporting requirements.
The Department will finalize performance measures and related targets that the Contractor shall achieve under the VBP model based on the Department’s goals for the Medicaid program to support achieved healthcare outcomes and achieve savings.
The Contractor shall work to achieve improvements in outcomes and performance metrics as determined by the Department, and to develop a value-based payment (VBP) model.
HCA contemplates designing and implementing VBP or other payment models focused on the unique needs of CISC Members to incentivize a health care delivery system that provides high-quality services and optimal outcomes for CISC Members and their Caregivers.