Pay-for-Performance Audits

Organizational Needs:

Healthcare Value Based Pay for Performance (VB P4P) programs reward hospitals, physician practices and other providers with both financial and non-financial incentives based on performance on select measures. Similar to Healthcare Effectiveness Data and Information Set (HEDIS®) measurement, performance is evaluated across a wide spectrum of domains: clinical, advancing care information, patient experience, resource use.

Attest also provides audit services for internal pay-for-quality programs on behalf of health plans, provider groups, and other health care systems. Our independent, knowledge-based third-party review of incentive programs provides affirmation to support the client’s process outcomes and resulting performance-driven payments.

Meeting Your P4P Audit Needs:

Attest has been auditing VB P4P on behalf of health plans and Provider Organizations (PO) since the beginning of the program. Attest leverages our expertise in HEDIS® to offer superior VB P4P audit services. Our core strength resides in our experience and knowledge that our clients are searching for in the transforming VB P4P landscape.

Our exemplary record of audit service delivery and expertise is best reflected by our client performance improvements and their corresponding financial bonuses. Our PO clients continue to be among those acknowledged as top performers annually by the Integrated Healthcare Association (IHA), who is responsible for data collection and reporting results for approximately 35,000 physicians in 200 PO’s caring for about 9 million members.

Learn more about California's IHA VB P4P Program

Attest has annually performed VB P4P audits for several key California health plans who participate in VB P4P reporting. The depth of our market knowledge across POs and health plans enables us to understand the VB P4P landscape and develop customized audit processes to best suit the needs of your organization.

Attest is committed to providing every VB P4P client with the level of service needed to reach each of your individual goals. Whether PO or health plan performance improvement, financial incentive, or audit compliance achieved by a comprehensive understanding of the VB P4P audit are your objectives, Attest can fulfill these needs.

We would like to share our success with Attest as your VB P4P audit expertise has been invaluable over the last 10 years.”- Top Performing P4P Provider Organization

HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). The HEDIS Compliance Audit is a trademark of NCQA.

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Please contact us if you would like additional information or a proposal on any of the services we provide.

Attest Health Care Advisors is an NCQA-licensed organization authorized to conduct HEDIS® audits. Only an NCQA-licensed organization is authorized to conduct HEDIS Compliance Audits™.