On December 13, our IHA and Onpoint teams made a minor refresh to the measure results summary and benchmarks downloads. Therefore, we recommend re-downloading the files listed below when reviewing the incentive design deliverables. The update has no impact on any of the MY 2021 IHA awards announced.
Measure Results Summary Download: an update was made to the “Is Score” column, which impacted only 3 data rows in the AMP HMO and MA programs
Benchmarks Download: a rounding logic update impacted a few percentile values by .01
MY 2021 Incentive Design Deliverables
The final MY 2021 AMP incentive design deliverables for the HMO and Medi-Cal programs are now available on the Onpoint Performance Reporting Portal (PRP)! Use these deliverables to understand how this year’s incentive design methodology – as developed and approved by IHA’s Technical Payment and Program Governance Committees – applies to each provider organization’s final AMP results.
Download the following incentive design deliverables on the PRP:
Health plans:
Health Plan Plug and Play: Simulating the AMP value-based incentive design for the current measurement year, the Plug and Plays support health plans with modeling incentive payments for their contracted provider organizations (POs). Modeling tools for the shared risk design and full risk design are included in each Plug and Play. The orange cell inputs in the workbook are pre-populated with standard values but can be changed to meet your health plan’s unique business needs.
Quality Composite Score File (aka Standard Payment Methodology): Contains the “points earned” distributed for each of the measures recommended for payment in the Clinical Quality, Patient Experience, and Advancing Care Information (HMO Only) domains. The “points earned” culminates into a Quality Composite Score for each provider organization (PO) that determines their eligibility for the Quality Gate and Quality Multiplier in the AMP value-based incentive design.
Provider Organizations (POs):
AMP PO Worksheets: The AMP Worksheets show the value-based incentive design using your organization's own performance on Quality, Appropriate Resource Use, and Total Cost of Care for the measurement year. Incentive dollar amounts and thresholds can be dynamically changed to understand the impacts of various performance levels on health plan-specific incentives. The calculations are not intended to reflect the actual payments that you will receive from participating health plans; they are provided for illustration of the general design.
Quality Composite Score File (aka Standard Payment Methodology): Contains the “points earned” distributed for each of the measures recommended for payment in the Clinical Quality, Patient Experience, and Advancing Care Information (HMO Only) domains. The “points earned” culminates into a Quality Composite Score for each PO that determines their eligibility for the Quality Gate and Quality Multiplier in the AMP value-based incentive design.
Quality Achievement Scores File: Contains your organization’s Clinical Quality, Patient Experience, and Overall Achievement Scores along with Total Cost of Care that determine the Excellence in Healthcare Award and the Top 10% Performers.
Please note: AMP PO Worksheets and Health Plan Plug and Plays are modeling tools only, as health plans may make adjustments to the recommended design when determining their incentive payments.
Looking for more incentive design resources? Check out our Value-based incentives page on IHA.org. The following resources provide detailed information on incentive eligibility and payments:
The Final MY 2022 AMP Program Guide includes up-to-date MY 2022 data submission and reporting timelines, a list of health plans participating in AMP, and other key programmatic information to support your organization’s participation in AMP for MY 2022.
View the Final MY 2023 AMP Measure Sets
The Final MY 2023 AMP Measure Sets are now available. Your feedback during the 2022 Public Comment Period played a key role in finalizing these measure sets. View our full report of comments received along with our IHA committee-approved responses.
in other news
AMP Commercial HMO award winners
Each year, IHA recognizes top-performing providers in performance improvement, clinical quality, patient experience, and cost. We announced this year's awardees during our Stakeholders’ Conference.
Our entire AMP team at Integrated Healthcare Association would like to wish everyone a happy and healthy holiday season. Please note, IHA offices will close December 23, 2022 and reopen on January 3, 2023.
in the pipeline
MY 2022 Participation Confirmation: Reconciliation Period (12/16 - 1/10)
Thank you all for updating your organization profiles and contracting relationships on the AMP Analytics Portal!
The next step for Participation Confirmation is to complete Reconciliation. During this process, IHA will share the draft AMP Master for review (available to health plans only) and work with Health Plans and Provider Organizations to resolve any contracting discrepancies identified from your responses in the AMP Analytics Portal. Participants will have from December 16 to January 10 to complete Reconciliation.
If you have any questions about the Participation Confirmation Process, please reach out to ampparticipation@iha.org.
MY 2022 Audited Submission Data File Layouts
Each year, we release a set of standard data file layouts for self-reporting POs and health plans to submit audited quality results to FinThrive (formerly TransUnion Healthcare) for use in the AMP Programs. You will be notified once the preliminary data file layouts for MY 2022 AMP reporting are released on January 16, 2023.
MY 2022 Program Updates Webinar
Join us to learn about the MY 2022 AMP reporting cycle! We will host a webinar that provides an overview of key AMP program updates for MY 2022, including information about the final Program Guide, measure sets, timelines, and program deadlines for data collection and reporting. A calendar invitation is forthcoming, but you can register early below!
The MY 2021 Voice of the Client Questionnaire for health plans and provider organizations will be available in mid-January. This is a great opportunity to share any feedback about your MY 2021 AMP Program experience. As an extra incentive, participants who complete the questionnaire will be eligible to win one of several $15 Amazon gift cards.
IHA will be sending the survey to all users registered on the AMP Analytics Portal, so please ensure that contacts there are up to date.
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