Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
San Francisco Health Network projects QIP gains; CMS funding expansion could raise pool to about $110 million
Summary
San Francisco Health Network officials told the Health Commission that the Quality Incentive Pool (QIP) has been a sustained revenue source and that a CMS funding expansion for 2025 could raise the pool's value to about $110 million if enrollment holds.
San Francisco Health Network officials reported to the Health Commission on progress in California's Quality Incentive Pool (QIP) program, describing longstanding success capturing available funding and outlining data and operations work to sustain performance and prepare for program changes.
Program summary and significance
Kathleen Chung, medical director for value-based care, said QIP is a statewide managed-care pay-for-performance program designed to align priorities and reduce disparities by paying public systems for meeting quality targets among Medi-Cal managed-care enrollees assigned to the network. In 2023 the network's QIP program value was about $68.9 million based on enrollment (roughly 51,000 enrollees assigned to San Francisco Health Network primary care). Chung said an approval by CMS to expand funding for program-year 2025 could raise the program's annual value to…
Already have an account? Log in
Subscribe to keep reading
Unlock the rest of this article — and every article on Citizen Portal.
- Unlimited articles
- AI-powered breakdowns of topics, speakers, decisions, and budgets
- Instant alerts when your location has a new meeting
- Follow topics and more locations
- 1,000 AI Insights / month, plus AI Chat
