April 17, 2023
Announcing Our Pediatric Shift Care Incentive Program
Health Partners Plans (HPP) would like to make you aware of a new incentive program for pediatric nursing shift care services. The incentive went into effect on January 1, 2023 and is available to in-network home care providers.
Home care agencies will be eligible for two incentive opportunities. Each incentive pays a per member per year (PMPY) amount based on their results compared to the benchmarks listed in both tables below.
Home care agencies that improve their missed shift rate will be eligible to earn a PMPY incentive payment based on their rate of improvement. Additionally, home care agencies with optimal missed shift care rates will be eligible to earn an additional PMPY payment based on their overall rate. Benchmarks were set based on HPP’s historical missed shift care rates. Eligible patients are those that have been authorized for shift care services. To qualify for any payout, home care agencies must have at least 10 members in their denominator.
Overall rate payout:
|
Tier Category |
2023 Benchmark |
2023 PMPY |
|
Tier 1 |
<5.00% |
$500.00 |
|
Tier 2 |
<3.00% |
$750.00 |
|
Tier 3 |
<2.00% |
$1,500.00 |
|
Tier 4 |
<1.00% |
$2,000.00 |
Improvement payout:
|
Tier Category |
2023 Benchmark |
2023 PMPY |
|
Tier 1 |
0.010-0.250% |
$500.00 |
|
Tier 2 |
0.251-0.500% |
$750.00 |
|
Tier 3 |
0.501-1.500% |
$900.00 |
|
Tier 4 |
>1.501% |
$1,000.00 |
If you have additional questions, please contact our Provider Services Helpline at 1-888-991-9023 (Monday – Friday, 9 a.m. – 5:30 p.m.). Thank you for your participation with HPP.