Results & Public Reporting

Value Based Pay for Performance (P4P) Results

Initially focused solely on quality, IHA’s Value Based P4P program has evolved into one of the country’s largest alternative payment models by merging quality, patient experience, resource use, and cost measures into a single incentive program across multiple health plans. The program’s ultimate goal is to advance high-quality, affordable, patient-centered care—or high-value care—for all Californians.  

Participants include 10 health plans and more than 200 California physician organizations caring for about 9.6 million Californians enrolled in commercial health maintenance organization (HMO) and point of service (POS) products. Results are shared with the California Office of the Patient Advocate (OPA) for public reporting and used to recognize winners of the Excellence in Healthcare Award.

News Release: Care Improves for Tens of Thousands of Californians in 2015 (Oct. 21, 2016)

Value Based P4P 2016 Results for Measurement Year 2015

Value Based P4P 2015 Results for Measurement Year 2014

Value Based P4P 2014 Results for Measurement Year 2013

Public Reporting

IHA partners with the California Office of the Patient Advocate (OPA) to publicly report Value Based P4P results at the individual physician-organization level. The online OPA Medical Group Commercial Report Card allows users to compare physician organization performance within a county, showing overall performance as well as scores on individual clinical quality, patient experience, and total cost of care measures.

IHA also partners with OPA to publish the Medical Group Medicare Report Card for physician organizations caring for seniors and people with disabilities enrolled in Medicare Advantage health plans. IHA supports other public reporting opportunities. For example, IHA in 2016 partnered with Consumer Reports and other Regional Healthcare Improvement Collaboratives to produce a magazine insert displaying the physician organization VBP4P results for selected measures.