SEPTEMBER 2022

AMP Monthly Newsletter

• Helpful resources for MY 2021 Questions and Appeals
• Newsletter archive

Questions and Appeals for MY 2021 Preliminary Results

The MY 2021 Questions and Appeals period is currently underway. During this time, we ask provider organizations and health plans to review their MY 2021 preliminary results and check for possible data submission errors. We encourage you to submit questions or appeals early to give IHA and partners enough time to thoroughly investigate your submission.

As a reminder, AMP MY 2021 preliminary results are now available via the Onpoint Performance Reporting Portal (PRP) in addition to refreshed MY 2020 Onpoint-generated AMP results. Historical AMP results will remain available in the AMP Analytics Portal.

Important activities and associated dates

This Friday, September 16: Questions and appeals for TransUnion pipeline are due. Please note the shorter timeframe due to complexities of TransUnion pipeline. If necessary, data for TransUnion generated results must be resubmitted to auditor by October 7 to be included in final AMP results.

September 30: Questions and appeals for Onpoint and PBGH Pipelines are due.

October 7: Last day to finalize any communications and documentation related to questions and appeals.

October 14: Appeals hearing.

October 14: Last date to resubmit data for Onpoint-generated results for inclusion in final AMP results. Once submitted, data will need to achieve passing status by October 21.

October 19: Appeals decisions communicated to participants.

End of November: Final MY 2021 results released to participants.

How to submit an appeal or question

1. Review the AMP Questions and Appeals Submission Guide and other resources on IHA.org.
2. Identify the organization name and ID, measure rates in question and applicable product lines and health plans, as well as any rationale and documentation to substantiate the claim.
3. Email the identified information using our Submission Form to appeals@iha.org by September 16, 2022, 5 p.m. PDT for any TransUnion-generated measures and September 30, 2022, 5 p.m. PDT for any PBGH and Onpoint-generated measures.

Helpful resources

MY 2021 AMP Questions and Appeals Submission Guide

Provides information about the Questions and Appeals period, including how to submit questions and appeals.

MY 2021 AMP Questions and Appeals Roles and Responsibilities

Delineates IHA, provider organization, health plan, and data partners’ roles and responsibilities during the Questions and Appeals process.

AMP Measure Set

Lists measures by AMP Program, their use cases (e.g., benchmarking, payment, public reporting), and data sources.

AMP Technical Specifications Manual

Delineates technical specifications for AMP measures.

2022 IHA Public Comment Period: October 10 – 28

During this year’s Public Comment Period happening October 10 through October 28, IHA will ask for your feedback on proposed program updates and the Draft MY 2023 AMP Measure Set and Technical Specifications. More information and resources will be available in the coming weeks on IHA.org.

MY 2022 PAS registration for providers opens soon

The Patient Assessment Survey (PAS) registration period for provider organizations opens October 10. If you are interested in receiving AMP Patient Experience domain results, you must sign up with the Purchaser Business Group on Health (PBGH). Provider organizations will receive an email from PBGH with detailed information on how to sign up the week of September 19.

Provider organizations can use the CSS portal link to access an internal registration menu which will be made available during the registration period. Reminder: POs should update their program contact info via the portal link to receive important notifications and updates about PAS registration. At the start of the registration period, POs will receive an email with further instructions to join informational webinars and download the MY 2022 PAS registration packet via the portal link. For questions related to PAS registration, please reach out to Valerie Kong (vkong@pbgh.org) and/or Jeff Burkeen (jburkeen@cssresearch.org).

Save the date: 2022 Stakeholders’ Conference

Mark your calendars for our Virtual Stakeholders’ Conference on December 8, 2022. More information is forthcoming, and registration will open in October.