Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1

Publication Build: This will be filled in by the publication tooling

## Example MeasureReport: vbp-measurereport101

Generated Narrative: MeasureReport

ResourceMeasureReport "vbp-measurereport101"

Profile: Value-Based Performance MeasureReport

Measure Report Category: Value-Based Performance (Measure Report Category#vbp)

status: complete

type: summary

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

subject: : Good Health Clinic

date: 2023-01-15

reporter: Organization/vbp-payer01 "ABC Payer"

period: 2022-01-01 --> 2022-12-31

> group

> > id

> > ccf-group-01

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Care coordination fee (Performance Metric Codes#ccf)

> measureScore:

> > stratifier

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> group

> > id

> > ssq-group-starscore

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Weighted average star (Performance Metric Codes#weighted-avg-star)

> measureScore: 3.8

> group

> > id

> > ssq-group-01

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Member months (Performance Metric Codes#member-months)

> measureScore: 300

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 100

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 50

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 50

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 200

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 150

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 50

> group

> > id

> > ssq-group-02

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Average risk score (Performance Metric Codes#avg-risk-score)

> measureScore: 0.7

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 0.8

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 0.9

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 1

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 1.1

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 1.2

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 1.3

> group

> > id

> > ssq-group-03

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Total revenue (Performance Metric Codes#revenue)

> measureScore: 10000

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 6000

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 3000

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 3000

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 4000

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 2000

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 2000

> group

> > id

> > ssq-group-04

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Revenue PMPM (Performance Metric Codes#revenue-pmpm)

> measureScore: 33

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 60

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 60

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 60

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 20

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 13

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 40

> group

> > id

> > ssq-group-05

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Medical pharmacy cost (Performance Metric Codes#med-rx-cost)

> measureScore: 9000

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 5000

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 3000

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 2000

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 4000

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 2000

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 3000

> group

> > id

> > ssq-group-06

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Medical pharmacy cost PMPM (Performance Metric Codes#med-rx-cost-pmpm)

> measureScore: 30

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 50

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 60

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 40

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 20

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 13

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 60

> group

> > id

> > ssq-group-07

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Medical cost fund (Performance Metric Codes#med-cost-fund)

> measureScore: 90 % (Details: UCUM code% = '%')

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 83.3 % (Details: UCUM code% = '%')

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 100 % (Details: UCUM code% = '%')

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 66.7 % (Details: UCUM code% = '%')

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 100 % (Details: UCUM code% = '%')

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 100 % (Details: UCUM code% = '%')

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 150 % (Details: UCUM code% = '%')

> group

> > id

> > ssq-group-08

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Medical cost target (Performance Metric Codes#med-cost-target)

> measureScore: 85 % (Details: UCUM code% = '%')

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 85 % (Details: UCUM code% = '%')

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 85 % (Details: UCUM code% = '%')

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 85 % (Details: UCUM code% = '%')

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 85 % (Details: UCUM code% = '%')

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 85 % (Details: UCUM code% = '%')

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 85 % (Details: UCUM code% = '%')

> group

> > id

> > ssq-group-09

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Medical pharmacy cost target (Performance Metric Codes#med-rx-cost-target)

> measureScore: 8500

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 5100

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 2550

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 2550

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 3400

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 1700

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 1700

> group

> > id

> > ssq-group-10

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Variance cost (Performance Metric Codes#variance-cost)

> measureScore: -500

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 100

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 450

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 550

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: -600

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: -300

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: -1300

> group

> > id

> > ssq-group-11

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Average risk score market (Performance Metric Codes#avg-risk-score-market)

> measureScore: 0.7

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 0.71

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 0.72

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 0.72

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 0.71

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 0.7

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 0.69

> group

> > id

> > ssq-group-12

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Market average revenue PMPM (Performance Metric Codes#avg-revenue-pmpm-market)

> measureScore: 35

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 40

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 32

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 36

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 50

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 29

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 30

> group

> > id

> > ssq-group-13

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Market average medical pharmacy cost PMPM (Performance Metric Codes#avg-med-rx-cost-pmpm-market)

> measureScore: 94.3 % (Details: UCUM code% = '%')

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 102.5 % (Details: UCUM code% = '%')

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 109.4 % (Details: UCUM code% = '%')

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 83.3 % (Details: UCUM code% = '%')

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 70 % (Details: UCUM code% = '%')

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 103.4 % (Details: UCUM code% = '%')

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 110 % (Details: UCUM code% = '%')

> group

> > id

> > ssq-group-14

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Care coordination fee (Performance Metric Codes#ccf)

> measureScore: 1500

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 500

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 250

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 250

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 1000

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 750

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 250

> group

> > id

> > ssq-group-15

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Qulaity payment chronic (Performance Metric Codes#quality-pmt-chronic)

> measureScore: 11900

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 3966.67

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 1983.33

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 1983.33

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 7933.33

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 5950

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 1983.33

> group

> > id

> > ssq-group-16

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Qulaity payment office visit (Performance Metric Codes#quality-pmt-office-visit)

> measureScore: 300

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 100

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 50

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 50

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: 200

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: 150

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 50

> group

> > id

> > ssq-group-17

> > Payment Stream

> > > url

> > > `type`

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

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Shared saving deficit (Performance Metric Codes#shared-saving-deficit)

> measureScore: -400

> > stratifier

> > > stratum

> > > value: HMO cohort (Cohort Codes#hmo)

> > > measureScore: 50

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: -360

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: HMO cohort (Cohort Codes#hmo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: 275

> > > stratum

> > > value: PPO cohort (Cohort Codes#ppo)

> > > measureScore: -480

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 1 ()

> > > measureScore: -240

> > > stratum

> > > > component

> > > > code: Cohort (Measure Stratifier Example Codes#cohort)

> > > > value: PPO cohort (Cohort Codes#ppo)

> > > > component

> > > > code: Facility (Measure Stratifier Example Codes#facility)

> > > > value: Region 2 ()

> > > measureScore: -1040

> group

> > id

> > qip-group-01

> > Payment Stream

> > > url

> > > `type`

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

> > > url

> > > `incentive`

> > value: Annual office visit (Incentive Payment Codes#annual-visit)

> Service Period: 2022-01-01 --> 2022-11-30

> Paid Through Date: 2022-12-31

> code: Average members with office visit (Performance Metric Codes#avg-member-office-visit)

> measureScore: 87 % (Details: UCUM code% = '%')

> group

> > id

> > qip-group-02

> > Payment Stream

> > > url

> > > `type`

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

> > > url

> > > `incentive`

> > value: Chronic care management incentive program (Incentive Payment Codes#chronic-care-mgmt)

> Service Period: 2022-01-01 --> 2022-09-30

> Paid Through Date: 2022-09-30

> code: Eligible member (Performance Metric Codes#eligible-member)

> measureScore: 500

> > stratifier

> > code: Condition count (Performance Metric Codes#condition-count)

> > > stratum

> > > value: 1 (LOINC#LA6112-2)

> > > measureScore: 100

> > > stratum

> > > value: 2 (LOINC#LA6113-0)

> > > measureScore: 200

> > > stratum

> > > value: 3 (LOINC#LA6114-8)

> > > measureScore: 50

> > > stratum

> > > value: 4 (LOINC#LA6115-5)

> > > measureScore: 50

> > > stratum

> > > value: 5+ (LOINC#LA10137-0)

> > > measureScore: 100

> group

> > id

> > qip-group-03

> > Payment Stream

> > > url

> > > `type`

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

> > > url

> > > `incentive`

> > value: Chronic care management incentive program (Incentive Payment Codes#chronic-care-mgmt)

> Service Period: 2022-01-01 --> 2022-09-30

> Paid Through Date: 2022-09-30

> code: 1 gap closed (Performance Metric Codes#1-gap-closed)

> measureScore: 100

> > stratifier

> > code: Condition count (Performance Metric Codes#condition-count)

> > > stratum

> > > value: 1 (LOINC#LA6112-2)

> > > measureScore: 20

> > > stratum

> > > value: 2 (LOINC#LA6113-0)

> > > measureScore: 30

> > > stratum

> > > value: 3 (LOINC#LA6114-8)

> > > measureScore: 20

> > > stratum

> > > value: 4 (LOINC#LA6115-5)

> > > measureScore: 10

> > > stratum

> > > value: 5+ (LOINC#LA10137-0)

> > > measureScore: 20

> group

> > id

> > qip-group-04

> > Payment Stream

> > > url

> > > `type`

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

> > > url

> > > `incentive`

> > value: Chronic care management incentive program (Incentive Payment Codes#chronic-care-mgmt)

> Service Period: 2022-01-01 --> 2022-09-30

> Paid Through Date: 2022-09-30

> code: 2 gap closed (Performance Metric Codes#2-gap-closed)

> measureScore: 0

> > stratifier

> > code: Condition count (Performance Metric Codes#condition-count)

> > > stratum

> > > value: 1 (LOINC#LA6112-2)

> > > measureScore: 0

> > > stratum

> > > value: 2 (LOINC#LA6113-0)

> > > measureScore: 0

> > > stratum

> > > value: 3 (LOINC#LA6114-8)

> > > measureScore: 0

> > > stratum

> > > value: 4 (LOINC#LA6115-5)

> > > measureScore: 0

> > > stratum

> > > value: 5+ (LOINC#LA10137-0)

> > > measureScore: 0

> group

> > id

> > qip-group-05

> > Payment Stream

> > > url

> > > `type`

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

> > > url

> > > `incentive`

> > value: Chronic care management incentive program (Incentive Payment Codes#chronic-care-mgmt)

> Service Period: 2022-01-01 --> 2022-09-30

> Paid Through Date: 2022-09-30

> code: Interim payment rate (Performance Metric Codes#interim-pmt-rate)

> > stratifier

> > code: Condition count (Performance Metric Codes#condition-count)

> > > stratum

> > > value: 1 (LOINC#LA6112-2)

> > > measureScore: 20

> > > stratum

> > > value: 2 (LOINC#LA6113-0)

> > > measureScore: 50

> > > stratum

> > > value: 3 (LOINC#LA6114-8)

> > > measureScore: 100

> > > stratum

> > > value: 4 (LOINC#LA6115-5)

> > > measureScore: 200

> > > stratum

> > > value: 5+ (LOINC#LA10137-0)

> > > measureScore: 300

> group

> > id

> > qip-group-06

> > Payment Stream

> > > url

> > > `type`

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

> > > url

> > > `incentive`

> > value: Chronic care management incentive program (Incentive Payment Codes#chronic-care-mgmt)

> Service Period: 2022-01-01 --> 2022-09-30

> Paid Through Date: 2022-09-30

> code: Earned incentive (Performance Metric Codes#earned-incentive)

> measureScore: 11900

> > stratifier

> > code: Condition count (Performance Metric Codes#condition-count)

> > > stratum

> > > value: 1 (LOINC#LA6112-2)

> > > measureScore: 400

> > > stratum

> > > value: 2 (LOINC#LA6113-0)

> > > measureScore: 1500

> > > stratum

> > > value: 3 (LOINC#LA6114-8)

> > > measureScore: 2000

> > > stratum

> > > value: 4 (LOINC#LA6115-5)

> > > measureScore: 2000

> > > stratum

> > > value: 5+ (LOINC#LA10137-0)

> > > measureScore: 6000

evaluatedResource:

- MeasureReport/quality-measurereport01
- MeasureReport/quality-measurereport02
- MeasureReport/quality-measurereport03
- MeasureReport/quality-measurereport04
- MeasureReport/quality-measurereport05
- MeasureReport/quality-measurereport06
- MeasureReport/quality-measurereport07
- MeasureReport/quality-measurereport08
- MeasureReport/quality-measurereport09