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Pace & Performance Measures

Primary Driver 4: Promoting payment models that reward improved quality, care experience, health equity and lower cost

Secondary Drivers: The results and progress of the pace and performance are listed below

Secondary Driver 1:
All payers in CT use financial incentives to reward improved quality and reduced cost, including the launch of Person Centered Medical Home+ (PCMH+)		 Expected Targets Cumulative Achieved to 10/31/2019 Status as of 10/31/2019
  • There are six Performance Measures to determine the progress of this secondary driver.
  • The results are far below the expected targets.
    		•
    Percent of beneficiaries in PCMH+ 63 22 ◦
    Number of Advanced Networks in PCMH+ 12 5 ◦
    Number Federally Qualified Health Centers in PCMH+ 33.5 9 ◦
    Number of Primary Care Physicians (PCPs) in PCMH+ 3,358 1,007 ◦
    Number (percent) of beneficiaries in any SSP 73 37 ◦
    Number of PCP participation in any SSP 4,088 3,344 ◦
    Secondary Driver 2:
    Recommending a statewide multi-payer core quality measure set for use in value-based payment models to promote quality measure alignment    		 Expected Targets Cumulative Achieved to 10/31/2019 Status as of 10/31/2019
  • The secondary driver consists of three Performance Measures.
  • The targets for alignment across health plans were met for commercial/Medicaid and commercial plans.
  • The target percent for health plans that use CAHPS was not met.
    		•
    Percent alignment across health plans on core quality measure set (commercial/Medicaid) 56 73 •
    Percent alignment across health plans on core quality measure set (commercial) 75 98 •
    Percent health plans that use Consumer Assessment of Healthcare Providers and Systems (CAHPS) in the scorecards tied to payment 50 17 ◦