Common use of Reducing Health Disparities Clause in Contracts

Reducing Health Disparities. Article 3, Sections 3.01 and 3.02 5% of total performance penalty at risk. a. Expectation: Plan reports the percent of enrollees across all lines of business excluding Medicare who have self-identified race/ethnicity in the Application for Certification for 2017. This information will be used as baseline to set targets for percent of membership who have self-identified by end of 2017, which will be reported in 2018 through the Application for Certification for 2019, Data will be submitted in a run chart demonstrating improvement in collection of self-reported identity compared to baseline reported. Performance Levels: Contractor achieves no improvement in self-identified race/ethnicity: 2% penalty Contractor shows improvement in reported identity but does not meet target: no penalty Contractor achieves target improvement in self-reported identify: 2% credit b. Expectation: Covered California will have set targets for reduction in disparities for end of year 2019 and for annual intermediate milestones after baseline was reported. (Total of 10 metrics.) Contractor reports required HEDIS/IHA/non-HEDIS metrics across all lines of business excluding Medicare for diabetes, asthma, hypertension and depression by race/ethnicity and overall gender once the scores for 2017 performance become available, in July 2018. The scores will be reported in run charts demonstrating comparison with baseline 2016 performance, which will be reported in July 2017. Performance will be defined by the number of metrics where contractor has shown reduced disparities, and targets will be set once baseline data has been reported. Performance Levels: Contractor does not achieve target, and does not reduce disparities in the agreed upon number of metrics: 3% penalty Contractor achieves target, by reducing disparities in the agreed upon number of metrics: No penalty. Contractor exceeds target, by reducing disparities in more than the agreed upon number of metrics: 3% credit

Reducing Health Disparities. Article 3, Sections 3.01 and 3.02 5% of total performance penalty at risk. a. Expectation: Plan reports the percent of enrollees across all lines of business excluding Medicare who have self-identified race/ethnicity in the Application for Certification for 2017. This information will be used as baseline to set targets for percent of membership who have self-identified by end of 2017, which will be reported in 2018 through the Application for Certification for 2019, Data will be submitted in a run chart demonstrating improvement in collection of self-reported identity compared to baseline reported. Performance Levels: Contractor achieves no improvement in self-identified race/ethnicity: 2% penalty Contractor shows improvement in reported identity but does not meet target: no penalty Contractor achieves target improvement in self-reported identify: 2% credit b. Expectation: Covered California will have set targets for reduction in disparities for end of year 2019 and for annual intermediate milestones after baseline was reported. (Total of 10 metrics.) Contractor reports required HEDIS/IHA/non-HEDIS metrics across all lines of business excluding Medicare for diabetes, asthma, hypertension and depression by race/ethnicity and overall gender once the scores for 2017 performance become available, in July 2018. The 2018.The scores will be reported in run charts demonstrating comparison with baseline 2016 performance, which will be reported in July 2017. Performance will be defined by the number of metrics where contractor has shown reduced disparities, and targets will be set once baseline data has been reported. Performance Levels: Contractor does not achieve target, and does not reduce disparities in the agreed upon number of metrics: 3% penalty Contractor achieves target, by reducing disparities in the agreed upon number of metrics: No penalty. Contractor exceeds target, by reducing disparities in more than the agreed upon number of metrics: 3% credit

Reducing Health Disparities. Article 3, Sections 3.01 and 3.02 5% of total performance penalty at risk. a. Expectation: Plan reports the percent of Covered California enrollees across all lines of business excluding Medicare who have self-identified race/ethnicity in the Application for Certification for 2017. This information will be used as baseline to set targets for percent of membership who have self-identified by end of 2017, which will be reported in 2018 through the Application for Certification for 2019, Data will be submitted in a run chart demonstrating improvement in collection of self-reported identity compared to baseline reported. Performance Levels: Contractor achieves no improvement in self-identified race/ethnicity.: 2% penalty Contractor shows improvement in reported identity but does not meet targettargets: no penalty Contractor achieves target improvement in self-reported identify: 2% credit b. Expectation: Covered California will have set targets for reduction in disparities for end of year 2019 and for annual intermediate milestones after baseline was reported. (Total of 10 210 metrics.) Contractor reports required HEDIS/IHA/non-HEDIS metrics across all lines of business excluding Medicare for diabetes, asthma, hypertension and depression by race/ethnicity and overall gender once the scores for 2017 performance become available, in July 2018. The 2018.The scores will be reported in run charts demonstrating comparison with baseline 2016 performance, which will be reported in July 2017. Performance will be defined by the number of metrics where contractor has shown reduced disparities, and targets will be set once baseline data has been reported. Performance Levels: Contractor does not achieve target, and does not reduce disparities in the agreed upon number of metrics: 3% penalty Contractor achieves target, by reducing disparities in the agreed upon number of metrics.: No penalty. Contractor exceeds target, by reducing disparities in more than the agreed upon number of metrics.: 3% credit

Reducing Health Disparities. Article 3, Sections 3.01 and 3.02 5% of total performance penalty at risk. a. Expectation: Plan reports the percent of Covered California enrollees across all lines of business excluding Medicare who have self-identified race/ethnicity in the Application for Certification for 2017. This information will be used as baseline to set targets for percent of membership who have self-identified by end of 2017, which will be reported in 2018 through the Application for Certification for 2019, Data will be submitted in a run chart demonstrating improvement in collection of self-reported identity compared to baseline reported. Performance Levels: Contractor achieves no improvement in self-identified race/ethnicity: . 2% penalty Contractor shows improvement in reported identity but does not meet targettargets: no penalty Contractor achieves target improvement in self-reported identify: 2% credit b. Expectation: Covered California will have set targets for reduction in disparities for end of year 2019 and for annual intermediate milestones after baseline was reported. (Total of 10 20 metrics.) Contractor reports required HEDIS/IHA/non-HEDIS metrics across all lines of business excluding Medicare for diabetes, asthma, hypertension and depression by race/ethnicity ethnic and overall gender once the scores for 2017 performance become available, in July 2018. The 2018.The scores will be reported in run charts demonstrating comparison with baseline 2016 performance, which will be reported in July 2017. Performance will be defined by the number of metrics where contractor has shown reduced disparities, and targets will be set once baseline data has been reported. Performance Levels: Contractor does not achieve target, and does not reduce disparities in the agreed upon number of metrics: 3% penalty Contractor achieves target, by reducing disparities in the agreed upon number of metrics: . No penalty. Contractor exceeds target, by reducing disparities in more than the agreed upon number of metrics: . 3% credit

Reducing Health Disparities. Article 3, Sections 3.01 and 3.02 5% of total performance penalty at for this Groupat risk. a. Expectation: Plan Contractor reports the percent of Covered California enrollees across all lines of business excluding Medicare who have self-identified race/ethnicity in the Application for Certification for 2017. This information will be used as baseline to set targets for percent of membership who have self-identified by end of 2017, which will be reported in 2018 through the Application for Certification for 2019, . Data will be submitted in a run chart demonstrating improvement in collection of self-reported identity compared to baseline reported. Performance Levels: Contractor achieves no improvement in self-identified race/ethnicity: 2% penalty Contractor shows improvement in reported identity but does not meet target: no penalty Contractor achieves target improvement in self-reported identify: 2% credit b. Expectation: Covered California will have set targets for reduction in disparities for end of year 2019 and for annual intermediate milestones after baseline was reported. (Total of 10 metrics.) Contractor reports required HEDIS/IHA/non-HEDIS metrics across all lines of business excluding Medicare for diabetes, asthma, hypertension and depression by race/ethnicity and overall gender once the scores for 2017 performance become available, in July 2018. The scores will be reported in run charts demonstrating comparison with baseline 2016 performance, which will be reported in July 2017. Performance will be defined by the number of metrics where contractor has shown reduced disparities, and targets will be set once baseline data has been reported. Performance Levels: Contractor does not achieve target, and does not reduce disparities in the agreed upon number of metrics: 3% penalty Contractor achieves target, by reducing disparities in the agreed upon number of metrics: No penalty. Contractor exceeds target, by reducing disparities in more than the agreed upon number of metrics: 3% credit