Equitable Quality and Access Domain Goals Clause Samples
Equitable Quality and Access Domain Goals a. The Contractor is incentivized for performance on metrics such as those related to access to care (including for individuals with a preferred language other than English and/or disability); preventive, perinatal, and pediatric care; care for chronic diseases; behavioral health; care coordination; and/or patient experience.
b. Metric performance expectations shall include, at a minimum:
Equitable Quality and Access Domain Goals a. The Contractor is incentivized for performance on metrics such as those related to access to care (including for individuals with limited English proficiency and/or disability); preventive, perinatal, and pediatric care; care for chronic diseases; behavioral health; care coordination; and/or patient experience.
b. For up to the first three Performance Years (PY 2023 through PY 2025), the Contractor’s performance will be based on:
(i) Reporting on access and quality metric performance, including reports stratified by demographic factors (such as race, ethnicity, language, disability, sexual orientation, and gender identity); health related social needs; and/or defined by other individual- or community-level markers or indices of social risk;
(ii) Developing and implementing interventions aimed at improving quality and reducing observed disparities on metrics that account for clinical and social risk factors.
c. For at least the last two Performance Years (PY2026 and PY2027), the Contractor’s performance will be based on improving quality and/or closing disparities as measured through performance on a subset of access and quality metrics.
Equitable Quality and Access Domain Goals. The MBHV is incentivized for performance on metrics such as those related to access to care (including for individuals with a preferred language other than English and/or disability); behavioral health; care coordination; and patient experience.
Equitable Quality and Access Domain Goals a. The MBHV is incentivized for performance on metrics such as those related to access to care (including for individuals with limited English proficiency and/or disability); care for behavioral health conditions; care coordination; and patient experience.
b. For up to the first three Performance Years (PY 2023 through PY 2025), MBHV performance will be based on:
i. Reporting on access and quality metric performance, including reports stratified by demographic factors (such as race, ethnicity, language, disability, sexual orientation, and gender identity); health related social needs; and/or defined by other individual- or community-level markers or indices of social risk;
ii. Developing and implementing interventions aimed at improving quality and reducing observed disparities on metrics that account for clinical and social risk factors.
c. For at least the last two Performance Years (PY2026 and PY2027), MBHV performance will be based on improving quality and/or closing disparities as measured through performance on a subset of access and quality metrics.