Da Vinci Value-Based Performance Reporting Implementation Guide
1.1.0 - STU 1.1 United States of America flag

This page is part of the Da Vinci Value-Based Performance Reporting Implementation Guide (v1.1.0: STU1.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

ValueSet: HCPLAN Framework Categories

Official URL: http://hl7.org/fhir/us/davinci-vbpr/ValueSet/hcplan-framework Version: 1.1.0
Standards status: Trial-use Maturity Level: 1 Computable Name: HCPLANFrameworkVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.30.48.1

HCPLAN framework categories for value-based performance. HCPLAN framework represents payments from public and private payers to provider organizations.

References

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem HCPLAN Framework Categories Codes v1.1.0 (CodeSystem)

This value set contains 10 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework  2ACategory 2AFoundational Payments for Infrastructure and Operations, e.g., care coordination fees and payments for HIT investments.
http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework  2BCategory 2BPay for Reporting, e.g., bonuses for reporting data or penalies for not reporting data.
http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework  2CCategory 2CPay-for-Performance, e.g., bonuses for quality performance.
http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework  3ACategory 3AAPMs with Shared Savings, e.g., shared savings with upside risk only.
http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework  3BCategory 3BAPMs with Shared Savings and Downside Risk, e.g., episode-based payments for procedures and comprehensive payments with upside and downside risk.
http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework  3NCategory 3NRisk Based Payments not linked to quality.
http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework  4ACategory 4ACondition-Specific Population-Based Payment, e.g., per member per month payments, payments for speciality services, such as oncology or mental health.
http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework  4BCategory 4BComprehensive Population-Based Payment, e.g., global budgets or full/percent of premium payments.
http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework  4CCategory 4CIntegrated Finance and Delivery System, e.g., global budgets or full/percent of premium payments in integrated systems.
http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework  4NCategory 4NCapitated Payments not linked to quality.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code