Project Governance
In 2007, the New York Health Plan Association, Inc. (HPA) was awarded a New York State Department of Health (NYSDOH) Pay for Performance Demonstration Project grant to create the New York Quality Alliance (NYQA).
The NYQA is a multi-stakeholder organization working to improve health care transparency on quality, cost and efficiency, through the collection and presentation of provider performance and patient management information to providers, performance-based payments, and public reporting to assist consumers in identifying high quality, cost effective providers. HPA’s application requested funds to staff and organize the collaborative, to create a forum where the physicians would have input in the project and to build the data management and reporting infrastructure.
Eleven health plans representing over five million covered lives including Aetna, Affinity, CDPHP, CIGNA, Elderplan, EmblemHealth, Health Net, Health Now, Hudson Health Plan, MVP and Oxford/United, are data contributors.
In 2008, the NYQA was designated a Chartered Value Exchange by the US Department of Health and Human Services to advance the four cornerstones of value-driven health care: 1) transparency of quality information, 2) transparency of price information, 3) adoption of interoperable health information standards, and 4) use of positive incentives that reward value in health care.
The following are the NYQA grant deliverables:
ViPS is the project’s data aggregator.
The NYQA is a multi-stakeholder organization working to improve health care transparency on quality, cost and efficiency, through the collection and presentation of provider performance and patient management information to providers, performance-based payments, and public reporting to assist consumers in identifying high quality, cost effective providers. HPA’s application requested funds to staff and organize the collaborative, to create a forum where the physicians would have input in the project and to build the data management and reporting infrastructure.
Eleven health plans representing over five million covered lives including Aetna, Affinity, CDPHP, CIGNA, Elderplan, EmblemHealth, Health Net, Health Now, Hudson Health Plan, MVP and Oxford/United, are data contributors.
In 2008, the NYQA was designated a Chartered Value Exchange by the US Department of Health and Human Services to advance the four cornerstones of value-driven health care: 1) transparency of quality information, 2) transparency of price information, 3) adoption of interoperable health information standards, and 4) use of positive incentives that reward value in health care.
The following are the NYQA grant deliverables:
• Develop a legal and project governance infrastructure to allow the stakeholders to collect, aggregate, analyze, benchmark and report physician performance.
• Secure pharmacy, medical claims and administrative data from the participating health plans for the years covered in this grant (2005-2008).
• Aggregate the data and produce physician-level reports on the 10 selected HEDIS® measures.
• Develop baseline reports for review by primary care physicians who qualify for one or more of the quality measures (patient n ≥ 30).
• Secure pharmacy, medical claims and administrative data from the participating health plans for the years covered in this grant (2005-2008).
• Aggregate the data and produce physician-level reports on the 10 selected HEDIS® measures.
• Develop baseline reports for review by primary care physicians who qualify for one or more of the quality measures (patient n ≥ 30).
ViPS is the project’s data aggregator.