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Pay for Performance Programs

Quality Performance Programs

Harvard Pilgrim's Quality Performance incentive programs are a cornerstone of our mission to ensure the overall value of heath care provided to our members. The programs reward physician groups and Hospitals for attaining targeted goals in quality, safety, efficiency, health equity and patient experience.

The Quality Performance programs are refreshed annually to ensure that the measures are aligned with state and national programs whenever possible, are meaningful and relevant to Harvard Pilgrim and provider work and require minimal administrative work for the physician group or hospital.

Commercial

Medicare STRIDE Quality Performance Program

Medicare STRIDE Quality Performance Program rewards physician groups and for attaining targeted goals in quality, safety, efficiency, health equity and over all patient experience.

The Medicare STRIDE Quality Performance Program is reviewed and refreshed annually to ensure that the measures are aligned with state and national programs whenever possible, are meaningful and relevant to HPHC and provider goals.

STRIDESM

Case Clarification Policy

Quality Program Covid-19 Response - Delay in Submission Deadlines