Common use of Integrated Healthcare Models Clause in Contracts

Integrated Healthcare Models. Article 4, Section 4.03 5% of total performance penalty at risk Expectation: Contractor reports enrollment in integrated healthcare models, based on definition in Attachment 7, Article 4, Section 4.03 in Application for Certification for 2019. Target percentage of members who select or are attributed to IHMs will be established by Covered California for 2019 with annual intermediate milestones after baselines are reported in the Application for Certification for 2017. Performance Levels Contractor does not meet target for percent of Exchange membership attributed to integrated healthcare models: 5% penalty Contractor achieves targeted percent of Exchange membership in integrated care models: No penalty Contractor exceeds target increase of Covered California members in integrated care models: 5% credit

Integrated Healthcare Models. Article 4, Section 4.03 5% of total performance penalty at risk Expectation: Contractor reports enrollment in integrated healthcare models, based on definition in Attachment 7, Article 4, Section 4.03 in Application for Certification for 2019. Target percentage of members who select or are attributed to IHMs will be established by Covered California for 2019 with annual intermediate milestones after baselines are reported in the Application for Certification for 2017. Performance Levels Contractor does not meet target for percent of Exchange membership attributed to integrated healthcare models.: 5% penalty Contractor achieves targeted percent of Exchange membership in integrated care models.: No penalty Contractor exceeds target increase of Covered California members in integrated care models,: 5% credit

Integrated Healthcare Models. Article 4, Section 4.03 5% of total performance penalty at risk Expectation: Contractor reports enrollment in integrated healthcare models, based on definition in Attachment 7, Article 4, Section 4.03 in Application for Certification for 2019. Target percentage of members who select or are attributed to IHMs will be established by Covered California for 2019 with annual intermediate milestones after baselines are reported in the Application for Certification for 2017. Performance Levels Contractor does not meet target for percent of Exchange membership attributed to integrated healthcare models: . 5% penalty Contractor achieves targeted percent of Exchange membership in integrated care models: . No penalty Contractor exceeds target increase of Covered California members in integrated care models: , 5% credit

Integrated Healthcare Models. Article 4, Section 4.03 5% of total performance penalty at risk Expectation: Contractor reports Exchange enrollment in integrated healthcare models, based on definition in Attachment 7, Article 4, Section 4.03 in Application for Certification for 2019. Target percentage of Exchange members who select or are attributed to IHMs will be established by the Exchange Covered California for 2019 with annual intermediate milestones after baselines are reported in the Application for Certification for 2017. Performance Levels Contractor does not meet target for percent of Exchange membership attributed to integrated healthcare models.: 5% penalty Contractor achieves targeted percent of Exchange membership in integrated care models.: No penalty Contractor exceeds target increase of Exchange Covered California members in integrated care models,: 5% credit