As an AMP Core participant, you’ll be in good company. Leading California plans and providers participate in one or more of our AMP Core programs. AMP Core tracks the quality and cost measures that the industry agrees are most important. Participants get reliable performance results and benchmarking that support improvement, ultimately helping Californians get better, more affordable care.
AMP Commercial HMO
As the oldest and largest AMP Core program, AMP Commercial HMO includes 13 California health plans and over 200 provider organizations. Together, they care for close to 10 million Californians and cover 95 percent of the state’s commercial HMO enrollment.
AMP Commercial HMO delivers a fully developed, high-impact program that produces reliable and agreed-upon performance results ready to be used for incentives, public recognition, and public reporting. Centralized and standardized processes minimize administrative burden and optimize patient care and performance improvement focus.
AMP Medicare Advantage
Many California Medicare Advantage plans lack sufficient enrollment to accurately measure provider performance and target improvement efforts on their own. AMP Medicare Advantage solves this challenge by aggregating performance data across participating plans to produce more robust results. The aggregated results improve measurement reliability and streamline reporting for physicians.
Our program mirrors the measures and methodologies that the Centers for Medicare & Medicaid Services (CMS) uses for its star ratings system. Participating AMP Medicare Advantage provider organizations receive a single set of performance results compared against the CMS national benchmarks. These results are used for public recognition awards and public reporting on the Office of the Patient Advocate report card.
AMP Medicare Advantage Results
Overall ratings among participating provider organizations:
- Almost 37% earned 4 stars or higher
- 20% earned 3.5 stars
- 17% earned 3 stars
AMP Medi-Cal Managed Care
Today, nearly 95% of Medi-Cal enrollees receive care through managed care plans, and Medi-Cal plans are shifting to value-based arrangements, tying payment to quality, access, and equity. At the same time, many providers care for both publicly and commercially enrolled patients. To advance high-value, equitable care for all, aligned and consistent performance measurement is critical.
AMP Medi-Cal Managed Care meets these needs with a performance measurement program that aligns with both DHCS reporting requirements and commercial programs to help improve care for your most vulnerable patient populations. Aligned measures include comprehensive diabetes care, cancer screenings, childhood immunization status, and all-cause readmissions.