Pay for Improvement Incentive

A new and additional component of the 2025 Population Health Model program

The Pay for Improvement Incentive is designed to:

  • Award payment to independent PCPs and FQHCs for achieving +5 percentage points improvement in three key Population Health Model (PHM) measures (i.e.,from 30% to 35%)
    • Medicare Annual Wellness Visits
    • Hypertension: Controlling High Blood Pressure (HEDIS CBP)
    • Follow Up After ED Visits for Patients with Multiple Chronic Conditions (HEDIS FMC)
  • Award payment to OneCare Preferred Providers and Collaborators following the current PHM payment structure
  • Increase ability to earn bonus dollars for practices who are further from targets
  • Improve performance in the PHM overall

Eligibility for pay for improvement incentive payment:

  • Participants must continue to meet all PHM accountabilities as outlined in: (PHM policy to be posted shortly)
  • Pay for improvement payments are an additive bonus, OneCare Participants are eligible to earn the existing PHM bonus in addition to pay for improvement bonus
    • Visit the PHM Payments section of the Provider Resource Center for details on the existing PHM bonus

Payment and Performance Periods:

  • Baseline period: performance as reflected in January 2025 PHM report release
  • Performance period: calendar year 2025
  • Payment period: 2026, after full run-out, during the same time period as 2026 reconciliation payments
  • The amount of the bonus for achieving +5 percentage points improvement: $21 per member per measure (for the year)
    • For example, if a practice with 1,000 attributed lives (est. mid-year) met the improvement bonus in all three measures, the bonus earned would be 1,000 * $21 * 3 (measures) = $63,000

Questions? Need help?

Please direct any questions to: onecarequality@onecarevt.org.