The Integrated Healthcare Association (IHA) is a nonprofit multi-stakeholder leadership group that promotes healthcare quality improvement, accountability and affordability for the benefit of all Californians. Beginning in 2012, the program began a strategic transition toward value, incorporating resource use and cost into the public reporting and recommended health plan incentive design. The VBP4P incentive design, developed through a multi-stakeholder collaborative process, reflects an upside gainsharing methodology based on resource use that incorporates quality performance. The design also includes a standard value-based incentive, which combines quality and cost performance, for organizations that receive comprehensive population-based payments.
IHA’s goal is to have 100% of participating physician organizations receive value-based incentives through either of these Category 3A or Category 4B APM designs—consistent with the VBP4P recommendations and common measure set—from all contracted, participating health plans by 2018.