Provider Incentive Programs
HPSM offers incentive programs that supplement standard reimbursement for primary care clinics and nursing facilities. These four incentive programs are pay for performance (P4P) programs, or metrics-based incentives designed to help providers meet quality performance targets to improve outcomes and experience for HPSM members.
These incentives help us build and maintain a more diverse and well-resourced provider network.
Incentives for Primary Care Providers
- Care Gap Closure P4P offers providers real-time bonus payments through a web-based platform for individual efforts to close priority care gaps.
- Benchmark P4P is designed to improve outcomes by sharing data with HPSM primary care clinics on quality performance for their patients.
Incentives for Nursing Facilities
- Nursing Facility P4P is designed to improve quality of care by increasing member bed access, reducing inpatient and emergency department utilization, and improving care transitions.
- Community Discharge P4P incentivizes successful discharging of HPSM members from extended institutional stays to community settings where they remain for at least six months.
For questions about our P4P incentives, email PSInquiries@hpsm.org.