Results & Recognition Program
Improving care can make a meaningful difference in your patient's health and wellness — and can improve your HEDIS scores. As you treat Medicaid, Medicare and/or FIDE-SNP members, we want to work closely with you to improve clinical quality outcomes and reward you for closing gaps in care through our Results & Recognition (R&R) Program.
Each practice in the Results & Recognition program receives:
CLINICAL QUALITY IMPROVEMENT LIAISON
- A dedicated clinical liaison as a single point of contact on quality
- Provides a comprehensive overview of the R&R programs for all LOBs
- Provides education, support and resources
- Assist to promote and achieve shared savings and incentives through improved quality performance and practice transformation
INCENTIVES
- Additional payments for quality gaps closed for selected HEDIS measures
- Incentives as noted below:
- Medicaid quality performance gap closed over the NCQA percentile targets
- FIDE-SNP quality performance gap closed once identified Stars rating reached
- Medicare quality performance gap closed once identified Stars rating reached
- Incentives as noted below:
JOIN THE R&R PROGRAM
To join a R&R Program and receive incentive payments, you must complete one of the following contact forms for the applicable program.
- Primary Care Provider – routine screenings and checkups
- Endocrinology – diabetic preventive screenings and services
- Women’s Health or OB/GYN – prenatal and postpartum care
- Ophthalmology – dilated/retinal eye exams for members with diabetes
- Cardiology – cardiovascular-related preventive screenings and services
This form confirms your voluntary commitment to work with us to improve quality and receive incentives for reaching the targeted benchmarks.