Enhancing Quality & P4P Income Study

Enhancing P4P Scores with Caret Health

These cases exemplify the critical role strategic technology adoption and quality-focused healthcare interventions can play in achieving notable improvements in P4P assessments.

With help from Caret, these providers were able to improve their dedication to advancing healthcare quality through targeted interventions, preventive care, and effective chronic disease management. These achievements are pivotal for enhancing patient well-being, reducing healthcare costs, and improving long-term health outcomes.

The improved scores, symbolize an investment in quality that aligns with the encroaching Value Based Care deadlines and Global Quality P4P Program objectives to incentivize enhanced care quality and patient outcomes efficiently and sustainably.

Summary

The following data presents Global Pay for Performance (P4P) results achieved before and after a pilot between Caret Health and an undisclosed large physician network. The results highlight the growth seen at 3 separate physician practices located in California by comparing quality scores and adjusted per member per month (PMPM) rates before and after the pilot.

Case Sample 1

Overview & Key Achievements

The following data highlights how the strategic adoption of Caret Health's platform transformed this Californian practice's outcomes in the Global Quality Pay For Performance (P4P) Program.

1

330% increase in quality score

2

358% increase in adjusted PMPM

3

Success in meeting and exceeding specific health screening goals with notable improvements in high blood pressure control, cancer screening, and diabetes care.

4

Effective management and treatment outcomes in chronic disease categories marking success in Caret’s strategy to target high-risk high-cost patient populations.

Improvement in Quality Score & PMPM Adjustment

Improvements in Diabetes Care

Improvements in Cancer Screening

Improved High Blood Pressure Control

Case Sample 2

Overview & Key Achievements

The following data highlights how the strategic adoption of Caret Health's platform transformed this Californian practice's outcomes in the Global Quality Pay For Performance (P4P) Program.

1

657% increase in quality score

2

853% increase in adjusted PMPM

3

Success in exceeding specific health screening goals specific to diabetes care and high blood pressure control. Notable improvements in cancer screening goals.

4

Effective management and treatment outcomes in chronic disease categories marking success in Caret’s strategy to target high-risk high-cost patient populations.

Improvement in Quality Score & PMPM Adjustment

Improvements in Diabetes Care

Improvements in Cancer Screening

Improved High Blood Pressure Control

Case Sample 3

Overview & Key Achievements

The following data highlights how the strategic adoption of Caret Health's platform transformed this Californian practice's outcomes in the Global Quality Pay For Performance (P4P) Program.

1

657% increase in quality score

2

853% increase in adjusted PMPM

3

Success in exceeding specific health screening goals specific to diabetes care and high blood pressure control. Notable improvements in cancer screening goals.

4

Effective management and treatment outcomes in chronic disease categories marking success in Caret’s strategy to target high-risk high-cost patient populations.

Improvement in Quality Score & PMPM Adjustment

Improvements in Diabetes Care

Improvements in Cancer Screening

Improved High Blood Pressure Control

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