ACC Incentive Payments
The Department is pleased to announce that the first Accountable Care Collaborative (ACC) program incentive payments will be paid to Primary Care Medical Providers (PCMPs) and Regional Care Collaborative Organizations (RCCOs) in March 2013. This payment represents a first step in the program paying for value rather than volume in healthcare.
The incentive payment was calculated based on regional performance on three key performance indicators (KPI):
1. Hospital All-Cause Thirty (30) Day Readmissions;
2. Emergency Room (ER) Visits; and
3. High Cost Imaging Services.
Six of the seven RCCOs achieved reductions in at least two KPIs for the first quarter of Fiscal Year 2013 (July-September 2012). This means that both RCCOs and PCMPs will receive a per member per month incentive payment based on the region’s performance for the quarter. Some PCMPs could receive variable incentive payments if their members are from different regions. We encourage PCMPs to reach out to their RCCOs with any questions about their incentive payment amount.
RCCO and PCMP incentive payments for performance on KPIs will be part of the ACC Annual Report submitted to the General Assembly in November 2013.