Example Value-Based Contract - ABC Payer and GoodHealth - Da Vinci Value-Based Performance Reporting Implementation Guide v1.0.0

Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1 United States of America flag

This page is part of the Da Vinci Value-Based Performance Reporting Implementation Guide (v1.0.0: STU1) 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

Measure: Example Value-Based Contract - ABC Payer and GoodHealth (Experimental)

Official URL: https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01				Version: 1.0.0
Active as of 2024-06-17				Computable Name: VbprMeasureExample01
Other Identifiers: http://example.org/fhir/server#ex-vbp-measure01 (use: temp), OID:2.16.840.1.113883.4.642.40.30.29.1

Example Value-Based Contract between ABC Payer and GoodHealth

Generated Narrative: Measure

ResourceMeasure "vbp-measure01"

Profile: Value-Based Performance Measure

Line of Business: MEDICARE (Source of Payment Typology#1)

Program Model
url
hcplan
value: Category 3A (HCPLAN Framework Categories Codes#3A)
url
cohort
value: HMO cohort (Cohort Codes#hmo)

Program Model
url
hcplan
value: Category 3B (HCPLAN Framework Categories Codes#3B)
url
cohort
value: PPO cohort (Cohort Codes#ppo)

Payment Stream
url
type
value: Shared savings gated on quality (Payment Stream Codes#ssq)

Payment Stream
url
type
value: Care coordination fee (Payment Stream Codes#ccf)

Payment Stream
url
type
value: Quality incentive payment (Payment Stream Codes#qip)

url: https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01

identifier: http://example.org/fhir/server/ex-vbp-measure01 (use: temp), Uniform Resource Identifier (URI)/urn:oid:2.16.840.1.113883.4.642.40.30.29.1

version: 1.0.0

name: VbprMeasureExample01

title: Example Value-Based Contract - ABC Payer and GoodHealth

status: active

experimental: true

date: 2024-06-17 13:51:52+0000

publisher: HL7 International / Clinical Quality Information

contact: HL7 International / Clinical Quality Information: http://www.hl7.org/Special/committees/cqi

description: Example Value-Based Contract between ABC Payer and GoodHealth

jurisdiction: United States of America (ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code#US)

effectivePeriod: 2022-01-01 --> 2024-12-31