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UCare - Providers - Pay for Performance (P4P)

We are excited and pleased to continue to extend the opportunity for our providers to participate in our Pay for Performance (P4P) program for 2009. The P4P program is focused on providing financial recognition to clinic systems that exhibit superior or improved performance.

 

For the 2009 Pay for Performance (P4P) Program, one of the composite measures for In Control Diabetes is HbA1c level <7. On February 27, 2009, Minnesota Community Measurement changed their HbA1c target to <8 and updated their guidelines accordingly.

UCare, along with other Minnesota health plans, aligns Pay for Performance measures with Minnesota Community Measures. Therefore, UCare has updated this P4P measure to <8. This change impacts the 2009 program and is effective immediately. The 2009 Pay for Performance (P4P) Payment Rates and The 2009 Pay for Performance (P4P) Specifications below have been updated with this change.

 

Pay for Performance (P4P) Documents:

›  P4P Frequently Asked Question (FAQ) Sheet
›  2009 Pay for Performance (P4P) Intro Clinic Letter
›  2009 Pay for Performance (P4P) Specifications

›  2009 Pay for Performance (P4P) Payment Rates
›  2009 Pay for Performance (P4P) Submission Guide
›  2009 Pay for Performance (P4P) Lab and B/P Reporting Form 
(Please use this form to submit your lab and blood pressure results. If more than one entry is listed for a patient [i.e. A1C, LDL, and B/P], all fields must be completed. See example in purple on the Reporting form. Also, please do not change the headers in the form as we cannot process it if it is missing that pertinent information.)

If you have any questions regarding this plan, the following UCare staff members are available to answer your questions:

Clinical & Technical Specifications: Laura Green lgreen@ucare.org 612-676-3403
Payment: Tony Ellingson tellingson@ucare.org 612-676-3573
Action List (distribution): Ann Fesler afesler@ucare.org
612-676-3260
Action List (technical issues): Elizabeth McWhite emcwhite@ucare.org
612-676-3293
Lab data submission: Tina Kadrlik tkadrlik@ucare.org 612-676-3345

 

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