vbp-measurereport101 - XML Representation - Da Vinci Value-Based Performance Reporting Implementation Guide v1.1.0

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 1.1.0 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
: vbp-measurereport101 - XML Representation

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<MeasureReport xmlns="http://hl7.org/fhir">
  <id value="vbp-measurereport101"/>
  <meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
      <valueString value="VBP MeasureReport Example 101"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/instance-description">
      <valueMarkdown
                     value="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."/>
    </extension>
    <profile
             value="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MeasureReport vbp-measurereport101</b></p><a name="vbp-measurereport101"> </a><a name="hcvbp-measurereport101"> </a><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"/><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>: <span title="Codes:{http://hl7.org/fhir/CodeSystem/measurereport-category vbp}">Value-Based Performance</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>: Good Health Clinic</p><p><b>date</b>: 2023-01-15</p><p><b>reporter</b>: <a href="Organization-vbp-payer01.html">Organization ABC Payer</a></p><p><b>period</b>: 2022-01-01 --&gt; 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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ccf}">Care coordination fee</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric ccf}">Care coordination fee</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</span></p></blockquote></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</span></p></blockquote></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric weighted-avg-star}">Weighted average 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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric member-months}">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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric avg-risk-score}">Average 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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 1</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric revenue}">Total 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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 3000</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric revenue-pmpm}">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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 60</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric med-rx-cost}">Medical pharmacy 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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 2000</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric med-rx-cost-pmpm}">Medical pharmacy 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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 40</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric med-cost-fund}">Medical 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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric med-cost-target}">Medical 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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric med-rx-cost-target}">Medical pharmacy 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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 2550</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric variance-cost}">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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 550</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric avg-risk-score-market}">Average 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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 0.72</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric avg-revenue-pmpm-market}">Market average revenue PMPM</span></p><p><b>measureScore</b>: 35</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 36</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric avg-med-rx-cost-pmpm-market}">Market average medical pharmacy cost PMPM</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric ccf}">Care coordination fee</span></p><p><b>measureScore</b>: 1500</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 250</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric quality-pmt-chronic}">Qulaity payment 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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 1983.33</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric quality-pmt-office-visit}">Qulaity payment 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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}">Shared savings gated on quality</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric shared-saving-deficit}">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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}">HMO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</span></p></blockquote><p><b>measureScore</b>: 275</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 1</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>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example cohort}">Cohort</span></p><p><b>value</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}">PPO cohort</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example facility}">Facility</span></p><p><b>value</b>: <span title="Codes:">Region 2</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream qip}">Quality incentive payment</span></li><li>incentive: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive annual-visit}">Annual office visit</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>Paid Through Date</b>: 2022-12-31</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric avg-member-office-visit}">Average members with 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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream qip}">Quality incentive payment</span></li><li>incentive: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive chronic-care-mgmt}">Chronic care management incentive program</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-09-30</p><p><b>Paid Through Date</b>: 2022-09-30</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric eligible-member}">Eligible member</span></p><p><b>measureScore</b>: 500</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric condition-count}">Condition count</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6112-2}">1</span></p><p><b>measureScore</b>: 100</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6113-0}">2</span></p><p><b>measureScore</b>: 200</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6114-8}">3</span></p><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6115-5}">4</span></p><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA10137-0}">5+</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream qip}">Quality incentive payment</span></li><li>incentive: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive chronic-care-mgmt}">Chronic care management incentive program</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-09-30</p><p><b>Paid Through Date</b>: 2022-09-30</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric 1-gap-closed}">1 gap closed</span></p><p><b>measureScore</b>: 100</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric condition-count}">Condition count</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6112-2}">1</span></p><p><b>measureScore</b>: 20</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6113-0}">2</span></p><p><b>measureScore</b>: 30</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6114-8}">3</span></p><p><b>measureScore</b>: 20</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6115-5}">4</span></p><p><b>measureScore</b>: 10</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA10137-0}">5+</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream qip}">Quality incentive payment</span></li><li>incentive: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive chronic-care-mgmt}">Chronic care management incentive program</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-09-30</p><p><b>Paid Through Date</b>: 2022-09-30</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric 2-gap-closed}">2 gap closed</span></p><p><b>measureScore</b>: 0</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric condition-count}">Condition count</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6112-2}">1</span></p><p><b>measureScore</b>: 0</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6113-0}">2</span></p><p><b>measureScore</b>: 0</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6114-8}">3</span></p><p><b>measureScore</b>: 0</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6115-5}">4</span></p><p><b>measureScore</b>: 0</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA10137-0}">5+</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream qip}">Quality incentive payment</span></li><li>incentive: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive chronic-care-mgmt}">Chronic care management incentive program</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-09-30</p><p><b>Paid Through Date</b>: 2022-09-30</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric interim-pmt-rate}">Interim payment rate</span></p><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric condition-count}">Condition count</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6112-2}">1</span></p><p><b>measureScore</b>: 20</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6113-0}">2</span></p><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6114-8}">3</span></p><p><b>measureScore</b>: 100</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6115-5}">4</span></p><p><b>measureScore</b>: 200</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA10137-0}">5+</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><ul><li>type: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream qip}">Quality incentive payment</span></li><li>incentive: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive chronic-care-mgmt}">Chronic care management incentive program</span></li></ul></blockquote><p><b>Service Period</b>: 2022-01-01 --&gt; 2022-09-30</p><p><b>Paid Through Date</b>: 2022-09-30</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric earned-incentive}">Earned incentive</span></p><p><b>measureScore</b>: 11900</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric condition-count}">Condition count</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6112-2}">1</span></p><p><b>measureScore</b>: 400</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6113-0}">2</span></p><p><b>measureScore</b>: 1500</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6114-8}">3</span></p><p><b>measureScore</b>: 2000</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA6115-5}">4</span></p><p><b>measureScore</b>: 2000</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA10137-0}">5+</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: extension = Proportion,0,,,,; status = complete; type = summary; measure = http://hl7.org/fhir/us/cqfmeasures/Measure/EXM125-FHIR|8.0.000; date = 2023-01-15; period = 2022-01-01 --&gt; 2022-11-30; improvementNotation = Increased score indicates improvement</a></li><li><a href="MeasureReport-quality-measurereport02.html">MeasureReport: extension = Proportion,5,,,,; status = complete; type = summary; measure = http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR|8.0.000; date = 2023-01-15; period = 2022-01-01 --&gt; 2022-11-30; improvementNotation = Increased score indicates improvement</a></li><li><a href="MeasureReport-quality-measurereport03.html">MeasureReport: extension = Proportion,0,,,,; status = complete; type = summary; measure = http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR|1.0.000; date = 2023-01-15; period = 2022-01-01 --&gt; 2022-11-30; improvementNotation = Increased score indicates improvement</a></li><li><a href="MeasureReport-quality-measurereport04.html">MeasureReport: extension = Proportion,0,,,,; status = complete; type = summary; measure = http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR|1.0.000; date = 2023-01-15; period = 2022-01-01 --&gt; 2022-11-30; improvementNotation = Increased score indicates improvement</a></li><li><a href="MeasureReport-quality-measurereport05.html">MeasureReport: extension = Proportion,0,,,,; status = complete; type = summary; measure = http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR|1.0.000; date = 2023-01-15; period = 2022-01-01 --&gt; 2022-11-30; improvementNotation = Increased score indicates improvement</a></li><li><a href="MeasureReport-quality-measurereport06.html">MeasureReport: extension = Proportion,0,,,,; status = complete; type = summary; measure = http://example.org/Measure/measure-med-adherence-hypertension-FHIR|1.0.000; date = 2023-01-15; period = 2022-01-01 --&gt; 2022-11-30; improvementNotation = Increased score indicates improvement</a></li><li><a href="MeasureReport-quality-measurereport07.html">MeasureReport: extension = Proportion,0,,,,; status = complete; type = summary; measure = http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR|1.0.000; date = 2023-01-15; period = 2022-01-01 --&gt; 2022-11-30; improvementNotation = Increased score indicates improvement</a></li><li><a href="MeasureReport-quality-measurereport08.html">MeasureReport: extension = Proportion,0,,,,; status = complete; type = summary; measure = http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR|1.0.000; date = 2023-01-15; period = 2022-01-01 --&gt; 2022-11-30; improvementNotation = Increased score indicates improvement</a></li><li><a href="MeasureReport-quality-measurereport09.html">MeasureReport: extension = Proportion,0,,,,; status = complete; type = summary; measure = http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR|1.0.000; date = 2023-01-15; period = 2022-01-01 --&gt; 2022-11-30; improvementNotation = Increased score indicates improvement</a></li></ul></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/measurereport-category">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/CodeSystem/measurereport-category"/>
        <code value="vbp"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <status value="complete"/>
  <type value="summary"/>
  <measure
           value="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 value="Organization/vbp-provider01"/>
      </valueReference>
    </extension>
    <display value="Good Health Clinic"/>
  </subject>
  <date value="2023-01-15"/>
  <reporter>🔗 
    <reference value="Organization/vbp-payer01"/>
  </reporter>
  <period>
    <start value="2022-01-01"/>
    <end value="2022-12-31"/>
  </period>
  <group id="ccf-group-01">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ccf"/>
          </coding>
          <text value="Care coordination fee"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="ccf"/>
      </coding>
      <text value="Care coordination fee"/>
    </code>
    <measureScore>
      <extension
                 url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
        <valueMoney>
          <value value="500"/>
          <currency value="USD"/>
        </valueMoney>
      </extension>
    </measureScore>
    <stratifier>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-starscore">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="weighted-avg-star"/>
      </coding>
      <text value="Weighted average star"/>
    </code>
    <measureScore>
      <value value="3.8"/>
    </measureScore>
  </group>
  <group id="ssq-group-01">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="member-months"/>
      </coding>
      <text value="Member months"/>
    </code>
    <measureScore>
      <value value="300"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="100"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="50"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="50"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="200"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="150"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="50"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-02">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="avg-risk-score"/>
      </coding>
      <text value="Average risk score"/>
    </code>
    <measureScore>
      <value value="0.7"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="0.8"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="0.9"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="1"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="1.1"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="1.2"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="1.3"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-03">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="revenue"/>
      </coding>
      <text value="Total revenue"/>
    </code>
    <measureScore>
      <value value="10000"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="6000"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="3000"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="3000"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="4000"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="2000"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="2000"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-04">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="revenue-pmpm"/>
      </coding>
      <text value="Revenue PMPM"/>
    </code>
    <measureScore>
      <value value="33"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="60"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="60"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="60"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="20"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="13"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="40"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-05">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="med-rx-cost"/>
      </coding>
      <text value="Medical pharmacy cost"/>
    </code>
    <measureScore>
      <value value="9000"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="5000"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="3000"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="2000"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="4000"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="2000"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="3000"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-06">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="med-rx-cost-pmpm"/>
      </coding>
      <text value="Medical pharmacy cost PMPM"/>
    </code>
    <measureScore>
      <value value="30"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="50"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="60"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="40"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="20"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="13"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="60"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-07">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="med-cost-fund"/>
      </coding>
      <text value="Medical cost fund"/>
    </code>
    <measureScore>
      <value value="90"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="%"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="83.3"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="100"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="66.7"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="100"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="100"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="150"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-08">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="med-cost-target"/>
      </coding>
      <text value="Medical cost target"/>
    </code>
    <measureScore>
      <value value="85"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="%"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="85"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="85"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="85"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="85"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="85"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="85"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-09">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="med-rx-cost-target"/>
      </coding>
      <text value="Medical pharmacy cost target"/>
    </code>
    <measureScore>
      <value value="8500"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="5100"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="2550"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="2550"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="3400"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="1700"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="1700"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-10">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="variance-cost"/>
      </coding>
      <text value="Variance cost"/>
    </code>
    <measureScore>
      <value value="-500"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="100"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="450"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="550"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="-600"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="-300"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="-1300"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-11">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="avg-risk-score-market"/>
      </coding>
      <text value="Average risk score market"/>
    </code>
    <measureScore>
      <value value="0.7"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="0.71"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="0.72"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="0.72"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="0.71"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="0.7"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="0.69"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-12">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="avg-revenue-pmpm-market"/>
      </coding>
    </code>
    <measureScore>
      <value value="35"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="40"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="32"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="36"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="50"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="29"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="30"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-13">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="avg-med-rx-cost-pmpm-market"/>
      </coding>
    </code>
    <measureScore>
      <value value="94.3"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="%"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="102.5"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="109.4"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="83.3"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="70"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="103.4"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="110"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-14">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="ccf"/>
      </coding>
      <text value="Care coordination fee"/>
    </code>
    <measureScore>
      <value value="1500"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="500"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="250"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="250"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="1000"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="750"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="250"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-15">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="quality-pmt-chronic"/>
      </coding>
      <text value="Qulaity payment chronic"/>
    </code>
    <measureScore>
      <value value="11900"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="3966.67"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="1983.33"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="1983.33"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="7933.33"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="5950"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="1983.33"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-16">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="quality-pmt-office-visit"/>
      </coding>
      <text value="Qulaity payment office visit"/>
    </code>
    <measureScore>
      <value value="300"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="100"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="50"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="50"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="200"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="150"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="50"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="ssq-group-17">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="shared-saving-deficit"/>
      </coding>
      <text value="Shared saving deficit"/>
    </code>
    <measureScore>
      <value value="-400"/>
    </measureScore>
    <stratifier>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="hmo"/>
          </coding>
        </value>
        <measureScore>
          <value value="50"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="-360"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="hmo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="275"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
            <code value="ppo"/>
          </coding>
        </value>
        <measureScore>
          <value value="-480"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <measureScore>
          <value value="-240"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="cohort"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
              <code value="ppo"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
              <code value="facility"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <measureScore>
          <value value="-1040"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="qip-group-01">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="qip"/>
          </coding>
          <text value="Quality incentive payment"/>
        </valueCodeableConcept>
      </extension>
      <extension url="incentive">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive"/>
            <code value="annual-visit"/>
          </coding>
          <text value="Annual office visit"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-11-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-12-31"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="avg-member-office-visit"/>
      </coding>
      <text value="Average members with office visit"/>
    </code>
    <measureScore>
      <value value="87"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="%"/>
    </measureScore>
  </group>
  <group id="qip-group-02">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="qip"/>
          </coding>
          <text value="Quality incentive payment"/>
        </valueCodeableConcept>
      </extension>
      <extension url="incentive">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive"/>
            <code value="chronic-care-mgmt"/>
          </coding>
          <text value="Chronic care management incentive program"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-09-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-09-30"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="eligible-member"/>
      </coding>
      <text value="Eligible member"/>
    </code>
    <measureScore>
      <value value="500"/>
    </measureScore>
    <stratifier>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
          <code value="condition-count"/>
        </coding>
      </code>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6112-2"/>
          </coding>
          <text value="1"/>
        </value>
        <measureScore>
          <value value="100"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6113-0"/>
          </coding>
          <text value="2"/>
        </value>
        <measureScore>
          <value value="200"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6114-8"/>
          </coding>
          <text value="3"/>
        </value>
        <measureScore>
          <value value="50"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6115-5"/>
          </coding>
          <text value="4"/>
        </value>
        <measureScore>
          <value value="50"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA10137-0"/>
          </coding>
          <text value="5+"/>
        </value>
        <measureScore>
          <value value="100"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="qip-group-03">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="qip"/>
          </coding>
          <text value="Quality incentive payment"/>
        </valueCodeableConcept>
      </extension>
      <extension url="incentive">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive"/>
            <code value="chronic-care-mgmt"/>
          </coding>
          <text value="Chronic care management incentive program"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-09-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-09-30"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="1-gap-closed"/>
      </coding>
      <text value="1 gap closed"/>
    </code>
    <measureScore>
      <value value="100"/>
    </measureScore>
    <stratifier>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
          <code value="condition-count"/>
        </coding>
      </code>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6112-2"/>
          </coding>
          <text value="1"/>
        </value>
        <measureScore>
          <value value="20"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6113-0"/>
          </coding>
          <text value="2"/>
        </value>
        <measureScore>
          <value value="30"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6114-8"/>
          </coding>
          <text value="3"/>
        </value>
        <measureScore>
          <value value="20"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6115-5"/>
          </coding>
          <text value="4"/>
        </value>
        <measureScore>
          <value value="10"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA10137-0"/>
          </coding>
          <text value="5+"/>
        </value>
        <measureScore>
          <value value="20"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="qip-group-04">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="qip"/>
          </coding>
          <text value="Quality incentive payment"/>
        </valueCodeableConcept>
      </extension>
      <extension url="incentive">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive"/>
            <code value="chronic-care-mgmt"/>
          </coding>
          <text value="Chronic care management incentive program"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-09-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-09-30"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="2-gap-closed"/>
      </coding>
      <text value="2 gap closed"/>
    </code>
    <measureScore>
      <value value="0"/>
    </measureScore>
    <stratifier>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
          <code value="condition-count"/>
        </coding>
      </code>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6112-2"/>
          </coding>
          <text value="1"/>
        </value>
        <measureScore>
          <value value="0"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6113-0"/>
          </coding>
          <text value="2"/>
        </value>
        <measureScore>
          <value value="0"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6114-8"/>
          </coding>
          <text value="3"/>
        </value>
        <measureScore>
          <value value="0"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6115-5"/>
          </coding>
          <text value="4"/>
        </value>
        <measureScore>
          <value value="0"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA10137-0"/>
          </coding>
          <text value="5+"/>
        </value>
        <measureScore>
          <value value="0"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="qip-group-05">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="qip"/>
          </coding>
          <text value="Quality incentive payment"/>
        </valueCodeableConcept>
      </extension>
      <extension url="incentive">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive"/>
            <code value="chronic-care-mgmt"/>
          </coding>
          <text value="Chronic care management incentive program"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-09-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-09-30"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="interim-pmt-rate"/>
      </coding>
      <text value="Interim payment rate"/>
    </code>
    <stratifier>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
          <code value="condition-count"/>
        </coding>
      </code>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6112-2"/>
          </coding>
          <text value="1"/>
        </value>
        <measureScore>
          <value value="20"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6113-0"/>
          </coding>
          <text value="2"/>
        </value>
        <measureScore>
          <value value="50"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6114-8"/>
          </coding>
          <text value="3"/>
        </value>
        <measureScore>
          <value value="100"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6115-5"/>
          </coding>
          <text value="4"/>
        </value>
        <measureScore>
          <value value="200"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA10137-0"/>
          </coding>
          <text value="5+"/>
        </value>
        <measureScore>
          <value value="300"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <group id="qip-group-06">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="qip"/>
          </coding>
          <text value="Quality incentive payment"/>
        </valueCodeableConcept>
      </extension>
      <extension url="incentive">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-incentive"/>
            <code value="chronic-care-mgmt"/>
          </coding>
          <text value="Chronic care management incentive program"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period">
      <valuePeriod>
        <start value="2022-01-01"/>
        <end value="2022-09-30"/>
      </valuePeriod>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date">
      <valueDate value="2022-09-30"/>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="earned-incentive"/>
      </coding>
      <text value="Earned incentive"/>
    </code>
    <measureScore>
      <value value="11900"/>
    </measureScore>
    <stratifier>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
          <code value="condition-count"/>
        </coding>
      </code>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6112-2"/>
          </coding>
          <text value="1"/>
        </value>
        <measureScore>
          <value value="400"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6113-0"/>
          </coding>
          <text value="2"/>
        </value>
        <measureScore>
          <value value="1500"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6114-8"/>
          </coding>
          <text value="3"/>
        </value>
        <measureScore>
          <value value="2000"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6115-5"/>
          </coding>
          <text value="4"/>
        </value>
        <measureScore>
          <value value="2000"/>
        </measureScore>
      </stratum>
      <stratum>
        <value>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA10137-0"/>
          </coding>
          <text value="5+"/>
        </value>
        <measureScore>
          <value value="6000"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport01"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport02"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport03"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport04"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport05"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport06"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport07"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport08"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport09"/>
  </evaluatedResource>
</MeasureReport>