Non Financial Incentives. In addition to the potential to earn incentive payments based on performance in the identified areas, FSSA may establish other means to incent performance improvement. FSSA retains the right to publicly report Contractor performance. Information which may be provided in public reports includes but is not limited to Contractor’s audited HEDIS report, Contractor’s Consumer Assessment of Healthcare Providers and Systems (CAHPS) data, and information based on Encounter Data Quality submission or underlying encounter data submitted by Contractor. FSSA intends to distribute information on key performance indicators to participating managed care plan contractors and the public on a regular basis, identifying Contractor’s performance, and comparing that performance to other managed care plan contractors, standards set by FSSA and/or external benchmarks or industry standards. FSSA may recognize managed care plan contractors that attain superior performance and/or improvement by publicizing their achievements. For example, FSSA may post information concerning exceptional performance on its website, where it will be available to both stakeholders and members of the public. To the extent data is used in a public report, it must be received by stated deadline in order to be published. In year two (2) of the Contract, FSSA intends to include Contractor quality and performance indicators on materials distributed to potential members to facilitate MCE selection. The State reserves the right to develop a rating system advertising Contractor performance on areas such as consumer satisfaction, network access and quality improvement. Following the initial year of the Contract, after which sufficient quality data is anticipated to be available, the State seeks to reward high performing MCEs through the auto-assignment logic. For example, in developing the auto-assignment methodology, the State reserves the right to consider factors such as Contractor performance on clinical quality outcomes as reported through HEDIS data, enrollee satisfaction as delineated through the CAHPS survey results, network access and other outcome measures. THE REMAINDER OF THIS PAGE HAS INTENTIONALLY BEEN LEFT BLANK Actuarial Certification:
Non Financial Incentives. In addition to the potential to earn bonuses based on performance in the identified areas, the Office may establish other means to incent performance improvement. The Office intends to distribute information on key performance indicators to participating managed care plan contractors on a regular basis, identifying Contractor's performance, and comparing that performance to other participating managed care plan contractors, and standards set by the Office and/or external benchmarks. The Office will recognize contractors that attain superior performance and/or improvement by publicizing their achievements. For example, The Office may post information concerning exceptional performance on its website, where it will be available to both stakeholders and members of the public. The Office may also revise its auto-assignment methodology during the Contract period for new members who do not select a participating managed care plan contractor. The new assignment methodology would reward those contractors that demonstrate superior performance and/or improvement on one or more performance measures.
Non Financial Incentives
