Common use of Achievement Points Clause in Contracts

Achievement Points. For each measure in pay-for-performance status in BP3, the State will decide whether to set the individual ACOs’ BP3 measure performance rates to 1) the higher of the ACOs’ BP3 or Budget Period 2 (BP2) actual measure rates, or 2) the higher of the ACO’s BP2 actual rates or the statewide median rates (i.e., measure level median performance among all ACOs) in BP2. If the State determines BP3 measure performance rates by comparing the individual ACOs’ BP2 actual rates to BP3 actual rates, then ACOs earn achievement points following the scoring approach set forth in Section 2.3.1. If the State determines BP3 measure performance rates by comparing individual ACOs’ BP2 actual rates to the BP2 statewide median rates, then: • For measures where an ACO demonstrates a higher BP2 rate than the BP2 statewide median, the ACO earns achievement points based on its own rate, following the scoring approach set forth in Section 2.3.1 • For measures where the statewide median demonstrates a higher rate than the ACO’s own rate, the ACO earns achievement points based on the statewide median, following the scoring approach set forth in Section 2.3.1 • In order to prevent such cases where an ACO’s measure performance rate would improve excessively through the use of the statewide median, the number of raw (i.e., percentage) points an ACO may earn when replacing an ACO actual measure rate with that of the statewide median rate is capped at 10 raw points EXHIBIT 6 - BP3 Measure Rate Calculation with Raw Point Cap = 10.0 A 73.0% 74.0% 74.0% No B 73.0% 70.0% 73.0% No C 73.0% 80.0% 80.0% No D 73.0% 84.0% 83.0%* Yes *BP3 Performance Rate ‘capped’ at 83.0% (i.e., 73.0% + maximum allowance of 10.0 raw points, using BP2 state median) Results from the ‘Performance Rate Used for BP3’ column are then compared to measure benchmarks for the calculation of Achievements Points, following the scoring approach described in Section 2.3.1