AMP Medi-Cal Managed Care

AMP Medi-Cal Managed Care

IHA’s Align. Measure. Perform. (AMP) programs use a fair and transparent approach to measurement, and they focus on creating comprehensive benchmarks and a reliable assessment of performance for medical groups, independent practice association (IPAs), and accountable care organizations (ACOs) across health plans. The AMP programs are recognized nationally for partnering with organizations across California and the nation to drive meaningful changes that reduce costs and improve healthcare quality and outcomes. Paired with the insights from Atlas, the AMP programs help partners reduce the reporting burden for payers and providers by using a standard measure set to deliver objective data and analysis that supports performance improvement.

With 11 million of 13 million Medi-Cal enrollees receiving care through managed care plans, and with increasing overlap in provider networks across insurance product types, aligned, consistent, and comparative performance measurement is critical. The AMP Medi-Cal Managed Care program is based on a common set of measures and benchmarks that spans clinical quality, patient experience, utilization, and cost of care measures. The program collects data and calculates performance results for medical groups, IPAs and FQHCs that provide care to Medi-Cal Managed Care enrollees. Health plans can use the results to make value-based incentive payments to their contracted providers.

Fact Sheet: AMP Medi-Cal Managed Care

Measure Set: AMP Medi-Cal Managed Care

Issue Brief: Aligning Performance Measures Across Medi-Cal Managed Care Pay-for-Performance Programs (March 2018)

Issue Brief: Aligning Performance Measures Across Medi-Cal Initiatives (December 2016)

Issue Brief: California's Medi-Cal Managed Care Pay for Performance Landscape (July 2015)

Issue Brief: Piloting Performance Measurement of Physician Organizations in Medi-Cal Managed Care: Findings and Implications (January 2015)