We are thrilled to share that the LHP Board approved a new clinical integration incentive model earlier this month. This new model was recommended by the LHP Finance & Contracting Committee and features several significant enhancements, including getting more money in the hands of network practices and providers and reducing the amount of unearned funds each year, while still ensuring that we maintain an adequate reserve fund. This new model will apply to the incentive payouts for the 2024 performance year, which will be distributed in Fall 2025.

Last year, we made the decision to update the distribution methodology, which had not had significant changes made to it for several years. Several possible models were evaluated and LHP staff and leadership worked with our analytics team to refine the details. We appreciate the Finance and Contracting Committee members’ thoughtful review of the new model as well as input from the Quality & Membership Committee before the final approval from the LHP Board. This collaborative effort is one of the most valuable attributes of a provider-led network!

In the coming weeks, your Provider Outreach and Engagement Adviser will meet with you to review the new model. Some key changes you’ll notice:

• CI Program funds and Shared Savings distribution are calculated separately.
• CI Program Funds distribution earned by each provider will be a sum of quality, practice contract participation, and citizenships measures.
• Shared Savings will be distributed based on a provider’s quality score.
• Practices will receive points for applicable contracts they participate in.
• Exceptional performance will be rewarded!
• Previously, providers were rewarded only if they met the measure, now the higher their percentile, the more they earn.

The elements you’ll see carry over from the current model include:

• Practices and providers will still earn incentive for citizenship measures and attribution tiers.
• Incentive eligibility is still contingent on completion of the annual CI Education video.
• Care coordination/PMPM funds will still be distributed to PCPs quarterly.
• Hospital pool funds are distributed in accordance with achievement of hospital measures.
• Practices are only eligible for PMPM and Shared Savings Funds from contracts they participate in.

As mentioned above, this new approach to distribution will apply to the 2024 performance year, which will be paid out in Fall 2025. We’re excited to see these enhancements in action as they support the tremendous growth of the value-based contracts and network that has occurred over the last 10 years.

As a member of the LHP network, you have access to many resources that help support measures, workflows, and patient outreach and education to help you choose the right care at the right time in the right place.

And now… a login and password are no longer required to access these resources! Be sure to bookmark or favorite this new site so you can find guidance and best practices at your fingertips. We continue to create new materials all the time, so check back often!

National Immunization Awareness Month (NIAM) is observed every August to highlight the importance of vaccinations for all ages. Read the full story about one clinic that has increased their Human Papillomavirus (HPV) vaccination rates in adolescents, as well as see a list of pediatricians and family medicine clinics in the LHP network.