Appendix Table B2.
Number of performance thresholds met (of 14 possible thresholds) | Shared savings bonus payment |
---|---|
14 | 50%* of observed savings** |
12–13 | 47%* of observed savings |
10–11 | 44%* of observed savings |
9 | 41%* of observed savings |
8 or fewer | Practice not eligible for shared savings |
Minus the combined value of the Care Management ($1.50 per patient per year) and Practice Support ($1.50 per patient per year) payments to the practice.
Observed savings were determined annually by each participating health plan. Each plan could develop its own savings calculation method within the following parameters specified in the Participation Agreement for the Northeast PACCI: “Savings [are] determined annually by comparing risk-adjusted actual to expected medical costs for the Practice’s patient population, with an adjustment for outliers, and subtracting from any resulting savings the value of Care Management and Practice Support Payments during the measurement year. Savings will be calculated based on the experience of the Practice’s patients who are enrolled with a Carrier. Carriers are solely responsible for determining the methodology for calculating actual and expected medical costs.”