Incentivizing Data Sharing Among Health Plans, Hospitals, and Providers To Improve Quality

Health plans can gain efficiencies and improve quality by connecting to health information networks and incentivizing hospital and provider participation as part of pay-for-performance programs.

Health plans, hospitals, and providers are increasingly recognizing that sharing claims and clinical data can help them coordinate care, reduce costs, manage population health, improve patient experience and outcomes, and address health equity challenges—in short, tackle many of the toughest challenges in health care.

To incentivize and encourage health care providers to share health information, Inland Empire Health Plan (IEHP), one of the 10 largest Medicaid health plans and the largest nonprofit Medicare-Medicaid plan in the country, has taken an innovative approach to include financial incentives for sharing health data in its quality pay-for-performance (P4P) programs that reward hospitals, primary care providers (PCPs), and independent practice associates (IPAs) for high-quality care.

Read the article by Erica Galvez, Chief Executive Officer, Manifest MedEx, and Dr. Ed Juhn, Chief Quality Officer, Inland Empire Health Plan, published in the American Journal of Managed Care.