Aggregate Amount of Shared Savings/Losses
Aggregate Amount of Shared Savings/Losses
- Performance Year 1: TBD
- Performance Year 2: TBD
- Performance Year 3: TBD
How Shared Savings Are Distributed
- Any savings in actual cost over projected cost is shared with NewHealth Collaborative participants based on their ability to impact associated costs.
- Unpaid surplus will be re-invested in NewHealth Collaborative’s infrastructure.
- The available surplus dollars (if any) in each budget pool category will be distributed to NewHealth Collaborative participants in the following proportions:
|
Budget Pools
|
Total
|
PCP
|
Specialist
|
Hospital
|
|
Allocation Method
|
|
|
|
|
Outpatient Pharmacy (1)
- Retail prescriptions for insured patients
|
N/A
|
N/A
|
N/A
|
N/A
|
|
Outpatient Ancillary
- Home Health
- DME
- Ambulance and other Transportation
- Prosthetics
- Supplies
- Other Ancillaries
|
100%
|
35%
|
35%
|
30%
|
|
Hospital, SNF, and Inpatient Rehab
|
100%
|
33%
|
33%
|
33%
|
|
Outpatient Services (excludes Diagnostics)
- Ambulatory Surgery
- Outpatient Emergency Room
- Radiation Therapy
- Physical Therapy
- Occupational Therapy
- Speech Therapy
- Outpatient Rehabilitation
- Other Outpatient Services
|
100%
|
35%
|
35%
|
30%
|
|
Outpatient Diagnostics
- Imaging
- Laboratory
- Pathology
- Other Diagnostics
|
100%
|
50%
|
50%
|
N/A
|