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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