Pay-For-Performance
(P4P) Program

CountyCare is pleased to offer providers a pay-for-performance (P4P) program in 2023.

 The P4P program provides a simple, focused, and rewarding bonus structure for high-quality performance.

The P4P Measure Definitions and Codes provides a list of the applicable measures and compliant codes and describes how performance will be evaluated and final payments calculated. The P4P Measures Quick Reference Table provides a high-level overview of the program.

CountyCare providers are expected to give high-quality care, follow practice guidelines posted on CountyCare’s website, and promote member self-management through getting needed care. Also, care provided this calendar year will often support next year’s HEDIS measure compliance, as measurement follows clinically appropriate look back periods.

Questions?

If you have any questions, please reach out to your Provider Relations representative or call Provider Relations at (312) 864-8200.

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