Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1
Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1
Da Vinci Value-Based Performance Reporting Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-vbpr/ and changes regularly. See the Directory of published versions
{
"resourceType" : "MeasureReport",
"id" : "vbp-measurereport101",
"meta" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
"valueString" : "VBP MeasureReport Example 101"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
"valueMarkdown" : "This is an example Value-Based Performance MeasureReport for the *VBP MeasureReport* profile., which includes examples for payment streams shared savings - gated on quality, care coordination fee, quality incentive payment for the chronic care management incentive program, quality incentive payment for the annual office visits, and quality measure performance."
}
],
"profile" : [
🔗 "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"vbp-measurereport101\"> </a><a name=\"hcvbp-measurereport101\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MeasureReport "vbp-measurereport101" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vbp-performance-measurereport.html\">Value-Based Performance MeasureReport</a></p></div><p><b>Measure Report Category</b>: Value-Based Performance <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-measurereport-category.html\">Measure Report Category</a>#vbp)</span></p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href=\"Measure-vbp-measure01.html\">Example Value-Based Contract - ABC Payer and GoodHealth</a></p><p><b>subject</b>: <span>: Good Health Clinic</span></p><p><b>date</b>: 2023-01-15</p><p><b>reporter</b>: <a href=\"Organization-vbp-payer01.html\">Organization/vbp-payer01</a> "ABC Payer"</p><p><b>period</b>: 2022-01-01 --> 2022-12-31</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ccf-group-01</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Care coordination fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ccf)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Care coordination fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#ccf)</span></p><p><b>measureScore</b>: </p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-starscore</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Weighted average star <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#weighted-avg-star)</span></p><p><b>measureScore</b>: 3.8</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-01</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Member months <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#member-months)</span></p><p><b>measureScore</b>: 300</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 100</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 200</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 150</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 50</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-02</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Average risk score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#avg-risk-score)</span></p><p><b>measureScore</b>: 0.7</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 0.8</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 0.9</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 1</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 1.1</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 1.2</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 1.3</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-03</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Total revenue <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#revenue)</span></p><p><b>measureScore</b>: 10000</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 6000</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 3000</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 3000</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 4000</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 2000</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 2000</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-04</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Revenue PMPM <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#revenue-pmpm)</span></p><p><b>measureScore</b>: 33</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 60</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 60</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 60</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 20</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 13</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 40</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-05</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Medical pharmacy cost <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#med-rx-cost)</span></p><p><b>measureScore</b>: 9000</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 5000</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 3000</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 2000</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 4000</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 2000</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 3000</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-06</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Medical pharmacy cost PMPM <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#med-rx-cost-pmpm)</span></p><p><b>measureScore</b>: 30</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 60</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 40</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 20</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 13</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 60</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-07</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Medical cost fund <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#med-cost-fund)</span></p><p><b>measureScore</b>: 90 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 83.3 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 100 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 66.7 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 100 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 100 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 150 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-08</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Medical cost target <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#med-cost-target)</span></p><p><b>measureScore</b>: 85 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 85 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 85 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 85 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 85 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 85 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 85 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-09</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Medical pharmacy cost target <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#med-rx-cost-target)</span></p><p><b>measureScore</b>: 8500</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 5100</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 2550</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 2550</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 3400</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 1700</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 1700</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-10</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Variance cost <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#variance-cost)</span></p><p><b>measureScore</b>: -500</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 100</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 450</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 550</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: -600</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: -300</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: -1300</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-11</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Average risk score market <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#avg-risk-score-market)</span></p><p><b>measureScore</b>: 0.7</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 0.71</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 0.72</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 0.72</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 0.71</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 0.7</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 0.69</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-12</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Market average revenue PMPM <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#avg-revenue-pmpm-market)</span></p><p><b>measureScore</b>: 35</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 40</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 32</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 36</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 29</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 30</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-13</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Market average medical pharmacy cost PMPM <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#avg-med-rx-cost-pmpm-market)</span></p><p><b>measureScore</b>: 94.3 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 102.5 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 109.4 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 83.3 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 70 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 103.4 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 110 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-14</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Care coordination fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#ccf)</span></p><p><b>measureScore</b>: 1500</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 500</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 250</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 250</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 1000</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 750</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 250</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-15</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Qulaity payment chronic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#quality-pmt-chronic)</span></p><p><b>measureScore</b>: 11900</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 3966.67</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 1983.33</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 1983.33</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 7933.33</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 5950</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 1983.33</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-16</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Qulaity payment office visit <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#quality-pmt-office-visit)</span></p><p><b>measureScore</b>: 300</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 100</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: 200</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 150</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 50</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-17</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Shared saving deficit <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#shared-saving-deficit)</span></p><p><b>measureScore</b>: -400</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: -360</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: 275</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p><p><b>measureScore</b>: -480</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: -240</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#cohort)</span></p><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</span></p><p><b>value</b>: Region 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>measureScore</b>: -1040</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>qip-group-01</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Quality incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#qip)</span></p><blockquote><p><b>url</b></p><code>incentive</code></blockquote><p><b>value</b>: Annual office visit <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-incentive.html\">Incentive Payment Codes</a>#annual-visit)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: Average members with office visit <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#avg-member-office-visit)</span></p><p><b>measureScore</b>: 87 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>qip-group-02</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Quality incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#qip)</span></p><blockquote><p><b>url</b></p><code>incentive</code></blockquote><p><b>value</b>: Chronic care management incentive program <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-incentive.html\">Incentive Payment Codes</a>#chronic-care-mgmt)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-09-30</p><p><b>Paid Through Date</b>: 2022-09-30</p><p><b>code</b>: Eligible member <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#eligible-member)</span></p><p><b>measureScore</b>: 500</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: Condition count <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#condition-count)</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6112-2)</span></p><p><b>measureScore</b>: 100</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6113-0)</span></p><p><b>measureScore</b>: 200</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 3 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6114-8)</span></p><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 4 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6115-5)</span></p><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 5+ <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA10137-0)</span></p><p><b>measureScore</b>: 100</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>qip-group-03</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Quality incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#qip)</span></p><blockquote><p><b>url</b></p><code>incentive</code></blockquote><p><b>value</b>: Chronic care management incentive program <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-incentive.html\">Incentive Payment Codes</a>#chronic-care-mgmt)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-09-30</p><p><b>Paid Through Date</b>: 2022-09-30</p><p><b>code</b>: 1 gap closed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#1-gap-closed)</span></p><p><b>measureScore</b>: 100</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: Condition count <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#condition-count)</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6112-2)</span></p><p><b>measureScore</b>: 20</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6113-0)</span></p><p><b>measureScore</b>: 30</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 3 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6114-8)</span></p><p><b>measureScore</b>: 20</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 4 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6115-5)</span></p><p><b>measureScore</b>: 10</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 5+ <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA10137-0)</span></p><p><b>measureScore</b>: 20</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>qip-group-04</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Quality incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#qip)</span></p><blockquote><p><b>url</b></p><code>incentive</code></blockquote><p><b>value</b>: Chronic care management incentive program <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-incentive.html\">Incentive Payment Codes</a>#chronic-care-mgmt)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-09-30</p><p><b>Paid Through Date</b>: 2022-09-30</p><p><b>code</b>: 2 gap closed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#2-gap-closed)</span></p><p><b>measureScore</b>: 0</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: Condition count <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#condition-count)</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6112-2)</span></p><p><b>measureScore</b>: 0</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6113-0)</span></p><p><b>measureScore</b>: 0</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 3 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6114-8)</span></p><p><b>measureScore</b>: 0</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 4 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6115-5)</span></p><p><b>measureScore</b>: 0</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 5+ <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA10137-0)</span></p><p><b>measureScore</b>: 0</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>qip-group-05</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Quality incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#qip)</span></p><blockquote><p><b>url</b></p><code>incentive</code></blockquote><p><b>value</b>: Chronic care management incentive program <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-incentive.html\">Incentive Payment Codes</a>#chronic-care-mgmt)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-09-30</p><p><b>Paid Through Date</b>: 2022-09-30</p><p><b>code</b>: Interim payment rate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#interim-pmt-rate)</span></p><blockquote><p><b>stratifier</b></p><p><b>code</b>: Condition count <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#condition-count)</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6112-2)</span></p><p><b>measureScore</b>: 20</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6113-0)</span></p><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 3 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6114-8)</span></p><p><b>measureScore</b>: 100</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 4 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6115-5)</span></p><p><b>measureScore</b>: 200</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 5+ <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA10137-0)</span></p><p><b>measureScore</b>: 300</p></blockquote></blockquote></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>qip-group-06</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Quality incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#qip)</span></p><blockquote><p><b>url</b></p><code>incentive</code></blockquote><p><b>value</b>: Chronic care management incentive program <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-incentive.html\">Incentive Payment Codes</a>#chronic-care-mgmt)</span></p></blockquote><p><b>Service Period</b>: 2022-01-01 --> 2022-09-30</p><p><b>Paid Through Date</b>: 2022-09-30</p><p><b>code</b>: Earned incentive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#earned-incentive)</span></p><p><b>measureScore</b>: 11900</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: Condition count <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#condition-count)</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6112-2)</span></p><p><b>measureScore</b>: 400</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6113-0)</span></p><p><b>measureScore</b>: 1500</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 3 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6114-8)</span></p><p><b>measureScore</b>: 2000</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 4 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6115-5)</span></p><p><b>measureScore</b>: 2000</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: 5+ <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA10137-0)</span></p><p><b>measureScore</b>: 6000</p></blockquote></blockquote></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"MeasureReport-quality-measurereport01.html\">MeasureReport/quality-measurereport01</a></li><li><a href=\"MeasureReport-quality-measurereport02.html\">MeasureReport/quality-measurereport02</a></li><li><a href=\"MeasureReport-quality-measurereport03.html\">MeasureReport/quality-measurereport03</a></li><li><a href=\"MeasureReport-quality-measurereport04.html\">MeasureReport/quality-measurereport04</a></li><li><a href=\"MeasureReport-quality-measurereport05.html\">MeasureReport/quality-measurereport05</a></li><li><a href=\"MeasureReport-quality-measurereport06.html\">MeasureReport/quality-measurereport06</a></li><li><a href=\"MeasureReport-quality-measurereport07.html\">MeasureReport/quality-measurereport07</a></li><li><a href=\"MeasureReport-quality-measurereport08.html\">MeasureReport/quality-measurereport08</a></li><li><a href=\"MeasureReport-quality-measurereport09.html\">MeasureReport/quality-measurereport09</a></li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/measurereport-category",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/CodeSystem/measurereport-category",
"code" : "vbp"
}
]
}
}
],
"status" : "complete",
"type" : "summary",
"measure" : "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01",
"subject" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject",
"valueReference" : {
🔗 "reference" : "Organization/vbp-provider01"
}
}
],
"display" : "Good Health Clinic"
},
"date" : "2023-01-15",
"reporter" : {
🔗 "reference" : "Organization/vbp-payer01"
},
"period" : {
"start" : "2022-01-01",
"end" : "2022-12-31"
},
"group" : [
{
"id" : "ccf-group-01",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ccf"
}
],
"text" : "Care coordination fee"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "ccf"
}
],
"text" : "Care coordination fee"
},
"measureScore" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
"valueMoney" : {
"value" : 500,
"currency" : "USD"
}
}
]
},
"stratifier" : [
{
"stratum" : [
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
]
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
]
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
]
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
]
}
]
}
]
},
{
"id" : "ssq-group-starscore",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "weighted-avg-star"
}
],
"text" : "Weighted average star"
},
"measureScore" : {
"value" : 3.8
}
},
{
"id" : "ssq-group-01",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "member-months"
}
],
"text" : "Member months"
},
"measureScore" : {
"value" : 300
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 100
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 50
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 50
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 200
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 150
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 50
}
}
]
}
]
},
{
"id" : "ssq-group-02",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "avg-risk-score"
}
],
"text" : "Average risk score"
},
"measureScore" : {
"value" : 0.7
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 0.8
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 0.9
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 1
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 1.1
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 1.2
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 1.3
}
}
]
}
]
},
{
"id" : "ssq-group-03",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "revenue"
}
],
"text" : "Total revenue"
},
"measureScore" : {
"value" : 10000
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 6000
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 3000
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 3000
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 4000
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 2000
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 2000
}
}
]
}
]
},
{
"id" : "ssq-group-04",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "revenue-pmpm"
}
],
"text" : "Revenue PMPM"
},
"measureScore" : {
"value" : 33
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 60
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 60
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 60
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 20
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 13
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 40
}
}
]
}
]
},
{
"id" : "ssq-group-05",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "med-rx-cost"
}
],
"text" : "Medical pharmacy cost"
},
"measureScore" : {
"value" : 9000
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 5000
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 3000
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 2000
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 4000
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 2000
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 3000
}
}
]
}
]
},
{
"id" : "ssq-group-06",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "med-rx-cost-pmpm"
}
],
"text" : "Medical pharmacy cost PMPM"
},
"measureScore" : {
"value" : 30
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 50
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 60
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 40
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 20
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 13
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 60
}
}
]
}
]
},
{
"id" : "ssq-group-07",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "med-cost-fund"
}
],
"text" : "Medical cost fund"
},
"measureScore" : {
"value" : 90,
"system" : "http://unitsofmeasure.org",
"code" : "%"
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 83.3,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 100,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 66.7,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 100,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 100,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 150,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
}
]
}
]
},
{
"id" : "ssq-group-08",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "med-cost-target"
}
],
"text" : "Medical cost target"
},
"measureScore" : {
"value" : 85,
"system" : "http://unitsofmeasure.org",
"code" : "%"
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 85,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 85,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 85,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 85,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 85,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 85,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
}
]
}
]
},
{
"id" : "ssq-group-09",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "med-rx-cost-target"
}
],
"text" : "Medical pharmacy cost target"
},
"measureScore" : {
"value" : 8500
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 5100
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 2550
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 2550
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 3400
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 1700
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 1700
}
}
]
}
]
},
{
"id" : "ssq-group-10",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "variance-cost"
}
],
"text" : "Variance cost"
},
"measureScore" : {
"value" : -500
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 100
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 450
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 550
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : -600
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : -300
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : -1300
}
}
]
}
]
},
{
"id" : "ssq-group-11",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "avg-risk-score-market"
}
],
"text" : "Average risk score market"
},
"measureScore" : {
"value" : 0.7
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 0.71
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 0.72
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 0.72
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 0.71
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 0.7
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 0.69
}
}
]
}
]
},
{
"id" : "ssq-group-12",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "avg-revenue-pmpm-market"
}
]
},
"measureScore" : {
"value" : 35
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 40
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 32
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 36
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 50
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 29
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 30
}
}
]
}
]
},
{
"id" : "ssq-group-13",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "avg-med-rx-cost-pmpm-market"
}
]
},
"measureScore" : {
"value" : 94.3,
"system" : "http://unitsofmeasure.org",
"code" : "%"
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 102.5,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 109.4,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 83.3,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 70,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 103.4,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 110,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
}
]
}
]
},
{
"id" : "ssq-group-14",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "ccf"
}
],
"text" : "Care coordination fee"
},
"measureScore" : {
"value" : 1500
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 500
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 250
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 250
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 1000
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 750
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 250
}
}
]
}
]
},
{
"id" : "ssq-group-15",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "quality-pmt-chronic"
}
],
"text" : "Qulaity payment chronic"
},
"measureScore" : {
"value" : 11900
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 3966.67
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 1983.33
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 1983.33
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 7933.33
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 5950
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 1983.33
}
}
]
}
]
},
{
"id" : "ssq-group-16",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "quality-pmt-office-visit"
}
],
"text" : "Qulaity payment office visit"
},
"measureScore" : {
"value" : 300
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 100
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 50
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 50
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : 200
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : 150
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 50
}
}
]
}
]
},
{
"id" : "ssq-group-17",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "shared-saving-deficit"
}
],
"text" : "Shared saving deficit"
},
"measureScore" : {
"value" : -400
},
"stratifier" : [
{
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
},
"measureScore" : {
"value" : 50
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : -360
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : 275
}
},
{
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
},
"measureScore" : {
"value" : -480
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 1"
}
}
],
"measureScore" : {
"value" : -240
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "cohort"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"measureScore" : {
"value" : -1040
}
}
]
}
]
},
{
"id" : "qip-group-01",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "qip"
}
],
"text" : "Quality incentive payment"
}
},
{
"url" : "incentive",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive",
"code" : "annual-visit"
}
],
"text" : "Annual office visit"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-12-31"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "avg-member-office-visit"
}
],
"text" : "Average members with office visit"
},
"measureScore" : {
"value" : 87,
"system" : "http://unitsofmeasure.org",
"code" : "%"
}
},
{
"id" : "qip-group-02",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "qip"
}
],
"text" : "Quality incentive payment"
}
},
{
"url" : "incentive",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive",
"code" : "chronic-care-mgmt"
}
],
"text" : "Chronic care management incentive program"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-09-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-09-30"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "eligible-member"
}
],
"text" : "Eligible member"
},
"measureScore" : {
"value" : 500
},
"stratifier" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "condition-count"
}
]
}
],
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6112-2"
}
],
"text" : "1"
},
"measureScore" : {
"value" : 100
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6113-0"
}
],
"text" : "2"
},
"measureScore" : {
"value" : 200
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6114-8"
}
],
"text" : "3"
},
"measureScore" : {
"value" : 50
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6115-5"
}
],
"text" : "4"
},
"measureScore" : {
"value" : 50
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA10137-0"
}
],
"text" : "5+"
},
"measureScore" : {
"value" : 100
}
}
]
}
]
},
{
"id" : "qip-group-03",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "qip"
}
],
"text" : "Quality incentive payment"
}
},
{
"url" : "incentive",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive",
"code" : "chronic-care-mgmt"
}
],
"text" : "Chronic care management incentive program"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-09-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-09-30"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "1-gap-closed"
}
],
"text" : "1 gap closed"
},
"measureScore" : {
"value" : 100
},
"stratifier" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "condition-count"
}
]
}
],
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6112-2"
}
],
"text" : "1"
},
"measureScore" : {
"value" : 20
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6113-0"
}
],
"text" : "2"
},
"measureScore" : {
"value" : 30
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6114-8"
}
],
"text" : "3"
},
"measureScore" : {
"value" : 20
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6115-5"
}
],
"text" : "4"
},
"measureScore" : {
"value" : 10
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA10137-0"
}
],
"text" : "5+"
},
"measureScore" : {
"value" : 20
}
}
]
}
]
},
{
"id" : "qip-group-04",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "qip"
}
],
"text" : "Quality incentive payment"
}
},
{
"url" : "incentive",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive",
"code" : "chronic-care-mgmt"
}
],
"text" : "Chronic care management incentive program"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-09-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-09-30"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "2-gap-closed"
}
],
"text" : "2 gap closed"
},
"measureScore" : {
"value" : 0
},
"stratifier" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "condition-count"
}
]
}
],
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6112-2"
}
],
"text" : "1"
},
"measureScore" : {
"value" : 0
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6113-0"
}
],
"text" : "2"
},
"measureScore" : {
"value" : 0
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6114-8"
}
],
"text" : "3"
},
"measureScore" : {
"value" : 0
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6115-5"
}
],
"text" : "4"
},
"measureScore" : {
"value" : 0
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA10137-0"
}
],
"text" : "5+"
},
"measureScore" : {
"value" : 0
}
}
]
}
]
},
{
"id" : "qip-group-05",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "qip"
}
],
"text" : "Quality incentive payment"
}
},
{
"url" : "incentive",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive",
"code" : "chronic-care-mgmt"
}
],
"text" : "Chronic care management incentive program"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-09-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-09-30"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "interim-pmt-rate"
}
],
"text" : "Interim payment rate"
},
"stratifier" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "condition-count"
}
]
}
],
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6112-2"
}
],
"text" : "1"
},
"measureScore" : {
"value" : 20
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6113-0"
}
],
"text" : "2"
},
"measureScore" : {
"value" : 50
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6114-8"
}
],
"text" : "3"
},
"measureScore" : {
"value" : 100
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6115-5"
}
],
"text" : "4"
},
"measureScore" : {
"value" : 200
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA10137-0"
}
],
"text" : "5+"
},
"measureScore" : {
"value" : 300
}
}
]
}
]
},
{
"id" : "qip-group-06",
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "qip"
}
],
"text" : "Quality incentive payment"
}
},
{
"url" : "incentive",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive",
"code" : "chronic-care-mgmt"
}
],
"text" : "Chronic care management incentive program"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
"valuePeriod" : {
"start" : "2022-01-01",
"end" : "2022-09-30"
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
"valueDate" : "2022-09-30"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "earned-incentive"
}
],
"text" : "Earned incentive"
},
"measureScore" : {
"value" : 11900
},
"stratifier" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "condition-count"
}
]
}
],
"stratum" : [
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6112-2"
}
],
"text" : "1"
},
"measureScore" : {
"value" : 400
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6113-0"
}
],
"text" : "2"
},
"measureScore" : {
"value" : 1500
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6114-8"
}
],
"text" : "3"
},
"measureScore" : {
"value" : 2000
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6115-5"
}
],
"text" : "4"
},
"measureScore" : {
"value" : 2000
}
},
{
"value" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA10137-0"
}
],
"text" : "5+"
},
"measureScore" : {
"value" : 6000
}
}
]
}
]
}
],
"evaluatedResource" : [
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
"valueString" : "ssq-group-starscore"
}
],
"reference" : "MeasureReport/quality-measurereport01"
},
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
"valueString" : "ssq-group-starscore"
}
],
"reference" : "MeasureReport/quality-measurereport02"
},
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
"valueString" : "ssq-group-starscore"
}
],
"reference" : "MeasureReport/quality-measurereport03"
},
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
"valueString" : "ssq-group-starscore"
}
],
"reference" : "MeasureReport/quality-measurereport04"
},
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
"valueString" : "ssq-group-starscore"
}
],
"reference" : "MeasureReport/quality-measurereport05"
},
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
"valueString" : "ssq-group-starscore"
}
],
"reference" : "MeasureReport/quality-measurereport06"
},
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
"valueString" : "ssq-group-starscore"
}
],
"reference" : "MeasureReport/quality-measurereport07"
},
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
"valueString" : "ssq-group-starscore"
}
],
"reference" : "MeasureReport/quality-measurereport08"
},
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
"valueString" : "ssq-group-starscore"
}
],
"reference" : "MeasureReport/quality-measurereport09"
}
]
}
IG © 2023+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-vbpr#1.0.0 based on FHIR 4.0.1. Generated 2024-05-10
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change