2015 Value Based Pay for Performance results released (Measurement Year 2014)

Sunday, November 29, 2015
Lindsay Erickson

IHA recently released the Value Based P4P program results for measurement year (MY) 2014 that show physician organization (PO) performance improved more than 1 percentage point on seven clinical quality measures, held steady on 10 measures, and declined on four measures.  Tangible examples of clinical gains included 40,000 more women receiving appropriate cervical cancer screenings and 3,500 fewer diabetic patients with poor blood sugar control.

The Program Results also show California HMO/POS HEDIS benchmarks—driven largely by P4P POs—generally outperformed the California PPO product line.  Also, physician organization participation in the meaningful use of health IT (MUHIT) domain increased substantially, with 72% of physicians within a PO attesting to meeting the meaningful use requirement. 

In terms of cost and value measurement, the average Total Cost of Care (TCC) was $3,749 in MY 2014, down from $3,817 in MY 2013.  Inpatient bed days and discharges decreased, but readmissions and emergency department use were up compared to MY 2013.   And for the first time, TCC includes Kaiser Permanente, Anthem Blue Cross and Western Health Advantage. In another first, the TCC results will be publicly reported at the PO level in early 2016.

Finally, IHA congratulates the 23 physician organizations recognized as Excellence in Healthcare Award winners that achieved the “Triple Aim” of quality, patient experience & cost. 


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