Payment Transformation is HMSA's effort to change provider compensation to ensure the sustainability of independent providers in a free-choice system. This replaces Pay-for-Quality and Patient-centered Medical Home (PCMH) programs.
Pay-for-Quality is a quality investment program that provides financial incentives for physicians and hospital practices that support the principles of advanced care and achieve targeted goals for improved care delivery.
Patient-centered Medical Home (PCMH) has helped advance provider practices on the journey toward HMSA's vision of creating a sustainable health care system for Hawaii.
Federally Qualified Health Centers and Rural Health Centers program guide to a new (interim) pay for quality program for 2018.
Disease Management Programs promote optimal health for patients through support of patient-physician interaction and ongoing patient education on diabetes, asthma, chronic kidney disease, COPD, and cardiovascular disease.
Medicare Star Ratings support the efforts of CMS to improve the level of accountability for the care provided by physicians, hospitals, and other providers.
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