Financial Incentives

Health Plan (IEHP) Immunization Pay for Performance Program

Captured 2023-04-02
Document Highlights

Methodology
– Direct to Physician Payments
– Fee For Service Model

The IEHP (Inland Empire Health Plan) Immunization Program was the first attempt at a physician incentive program.

Goal was to increase the immunization rate of IEHP Members 0-2 years of age.

Program provided direct reimbursement to physicians for immunizations.

Physicians were reimbursed $50 for each well child visit done in accordance with the IEHP Well Child Visit schedule for Members 0 to 18 years old.

Implemented a $100 bonus for:
– Completion of 6 well child visits by 15 months.
– Submission of a complete immunization record prior to age 2.

Comments

The document above is a presentation posted to the IEHP (Inland Empire Health Plan) website, detailing their Pay For Performance Program.

This PDF was removed from their website after it was posted here on Vaccine Guide.

Original web address: http://www.chcs.org/media/BGILBERT.pdf

The URL link above is to an archived capture of the PDF from January 2023.

Fact sheet about IEHP.

“Inland Empire Health Plan is is a not-for-profit health plan.”

“IEHP organizes health care for 1,659,922 Members in San Bernardino and Riverside counties in Medi-Cal (including adults, families with children, seniors and people with disabilities) and Cal MediConnect (Medicare-Medicaid Plan).”

IEHP.org