Welcome to the AMP newsletter! You can find previous newsletters on the IHA website under the News & Events tab.
Need To Do
Get Your Final MY 2019 AMP Program Results Now!
We are excited to announce that finalMY 2019 AMP Program Results for all product lines are now available on IHA’s Reporting Portal! We couldn’t have done it without you and all of your efforts to help ensure complete and valid data results, so a huge thank you to all of our participants!
Together, we’ve hit some major milestones in MY 2019:
AMP Commercial HMO results are now ready for use in health plan incentive payments, public reporting, and provider organization recognition awards.
The first year of AMP Medi-Cal Managed Care measurement and reporting provides participating health plans, POs and FQHCs information about patient experience.
For the first time, all four AMP programs’ final results have been released at once!
New Feature: The ACO downloads page in the portal has been revamped to make it easier to access your results. ACO Benchmarks have their own dedicated download buttons, split into quality and resource use, while the ACO Reports and data results have been separated from other products for your convenience.
Other Things to Look For In Your Final AMP Results Data Capture This year's Questions and Appeals Panel review led to one health plan re-submitting data and one health plan having four measures suppressed: Generic Prescribing (GRX), Total Cost of Care (TCOC), Use of Opioids at High Dosage (HDO), and Concurrent Use of Opioids and Benzodiazepines (COB). The Panel's goal is to provide recommendations that lead to the most comprehensive and robust results possible for AMP Final Results. Recommendation: Please review your results, as they may have changed slightly from preliminary to final.
Want to dig deeper into your results? Our Member Level Detail Portal is now updated with final MY 2019 data, and will show you which patients fell into the numerator and denominator of each AMP Commercial HMO, Medicare Advantage, and Medi-Cal Managed Care utilization measure.
Have questions or need more info? Reach out to amp@iha.org.
Evolving AMP In Response to COVID-19
COVID-19 has had a major impact on healthcare delivery in 2020 - and we recognize healthcare performance will look different because of it. In light of this, we announced key changes to the program earlier this month. Here’s a summary of what’s new for measurement year (MY) 2020:
Smaller accountability measure set. Based on feedback from our governing committees, we’ll use a prioritized, more limited set of measures for accountability purposes in MY 2020. See the full, updated MY 2020 measure set on our measure set webpage.
Accounting for telehealth services. We updated relevant MY 2020 HEDIS measure specifications to reflect updated telehealth guidance in the MY 2020 AMP Program Manual.
Updated Incentive Design. Instead of holding POs accountable for year-over-year improvements (shared savings pathway), we updated the incentive design to reward providers for maintaining a certain level of performance in 2020 (attainment pathway). We’re working with the Technical Payment Committee to finalize the expanded/relaxed performance targets based on input from our committees. See the full incentive design on our incentive design webpage.
In Other News
Register for Stakeholders 2020: Building Resilience Together
Don’t forget to join us on November 5 for our annual - and now virtual - stakeholders meeting! We’ll be taking a deeper look into performance measurement during the pandemic, celebrating AMP award winners, and more. As a participant, your registration is free!
Provider Organization Participation Confirmation Period for MY 2020: November 9-December 4, 2020
It’s almost time for POs to confirm their participation in the AMP program for the upcoming MY 2020! You will be asked to update and confirm your health plan contracts, organizational profile, and more. You should have received a Pre-Participation Confirmation Survey to complete by Monday, Oct. 26. For more information about this process, join our kick-off webinar!
PO Participation Confirmation Process Webinar Wednesday, Nov. 11, 2020 | 9:30-10:00 am PT Register here
Questions?
Contact us: AMP@iha.org www.IHA.org
Integrated Healthcare Association, 500 12th Street, Suite 310, Oakland, CA