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Results & Recognition Program

Improving care can make a meaningful difference in your patients’ 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.

To join a R&R Program and receive incentive payments, you must complete one of the following contact forms for the applicable program.

This form confirms your voluntary commitment to work with us to improve quality and receive incentives for reaching the targeted benchmarks. For more information on the R&R programs, please review the resources below:

R&R Program Overview

As part of the R&R Program, you will receive:

Reports Support Payments

Reports

Support

Payment

Quality report

cards and

patient-level

detail gap reports

(data included

will cover

January through

December of the

measurement year)

You and your staff will receive a dedicated single point of contact on quality improvement, for all lines of business, with support through:

  • Monthly touchpoints and report analysis
  • Monthly webinars
  • Resources and support to promote best practices and quality improvement through practice transformation

Additional payments for every:

  • Medicaid quality performance gap closed over the percentile targets
  • FIDE-SNP quality performance gap closed once you reach the identified Star Rating
  • Medicare quality performance gap closed once you reach the identified Star Rating

Three payments a year and a detailed payment report:

  • First and Second Quarter Results – Payment in the fourth quarter of the measurement year
  • Third Quarter Results – Payment in the first quarter of the following year
  • Fourth Quarter Results – Payment in the second quarter of the following year

Additional Resources