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Program Design

The Provider Recognition Program is designed to further the Plan’s mission of improving the health and quality of life of our members. The program design is composed of clinically-sound measures relevant to the Plan’s population.

Passport Health Plan recognizes there are national trends associated with pay for performance models, and we are committed to staying abreast of those trends. The Provider Recognition Program employs sound methodology that is fair and equitable to all practitioners involved, and takes national initiatives into consideration.  The Provider Recognition Program will be evaluated annually.

Previous PCP Bonus Program Measures:

  • PCP Profile
  • EPSDT Screening Rate
  • EPSDT Participation Rate
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Additional Measures:

  • Breast Cancer Screening
  • Cervical Cancer Screening
  • Chlamydia Screening
  • ER Utilization
  • Member Satisfaction
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Provider Recognition Program

 
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