The Value Based Pay for Performance (VBP4P) recommended incentive design is a shared savings model that relies not only on quality but also cost and resource use. While the design recommends payment based on high quality, managed cost, and appropriate resource use, each health plan determines its own budget and methodology for calculating and distributing payments to physician organizations. The VBP4P Fact Sheet, Design Document, and Standard Payment Methodology (Quality Composite Score Calculation) provide greater detail.
MY 2014 Financial Transparency Reports and MY 2015 Advanced Notice are currently being collected from health plans and will be posted here soon. VBP4P stakeholders will receive a notice when these documents are available. Financial transparency reports will show the incentive payments made by each health plan participating in VBP4P and specify the payment methodology, adoption of the IHA common measure set, other incentive measures and use of the aggregated results. Health plans also give advanced notice of their intentions for payment methodology and budget for the upcoming measurement year.