Intersection of http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework and http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework

This is the CodeSystem that contains codes in both HCPLAN Framework Categories Codes (http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework) and HCPLAN Framework Categories Codes (http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework).

Structure

Generated Narrative: CodeSystem a70f4a30-8b22-4ecd-84cf-b7d39eefadcd-3

This code system http://hl7.org/fhir/comparison/CodeSystem/a70f4a30-8b22-4ecd-84cf-b7d39eefadcd-3 defines codes, but no codes are represented here

CodeDisplayDefinition
2A Category 2AFoundational Payments for Infrastructure and Operations, e.g., care coordination fees and payments for HIT investments.
2B Category 2BPay for Reporting, e.g., bonuses for reporting data or penalies for not reporting data.
2C Category 2CPay-for-Performance, e.g., bonuses for quality performance.
3A Category 3AAPMs with Shared Savings, e.g., shared savings with upside risk only.
3B Category 3BAPMs with Shared Savings and Downside Risk, e.g., episode-based payments for procedures and comprehensive payments with upside and downside risk.
3N Category 3NRisk Based Payments not linked to quality.
4A Category 4ACondition-Specific Population-Based Payment, e.g., per member per month payments, payments for speciality services, such as oncology or mental health.
4B Category 4BComprehensive Population-Based Payment, e.g., global budgets or full/percent of premium payments.
4C Category 4CIntegrated Finance and Delivery System, e.g., global budgets or full/percent of premium payments in integrated systems.
4N Category 4NCapitated Payments not linked to quality.