Question: An integrated delivery system received their year - end value - based performance program results. Their organizational details and outcomes are below: 4 5 ,

An integrated delivery system received their year-end value-based performance program results. Their organizational details and outcomes are below:
45,000 covered lives
Year-end performance: 4.49 Stars score
$2,500,000 below total spend target
Program contract details:
$4.50 PMPM (per member per month) care coordination fee
$75 PMPY (per member per year) bonus payment if 4.0 Stars score achieved
$125 PMPY (per member per year) bonus payment if 4.50 Stars score achieved
30% shared savings for total spend below target
60% shared savings if 4.50 Stars also achieved
What was the total (full-year) payment for:
Care coordination: (.25 point)
Stars (@ 4.49): (.25 point)
Stars (if 4.50 was achieved): (.5 point)
Shared savings (@4.49): (.5 point)
Shared savings (if 4.50 was achieved): (.5 point)
Total payment (@ 4.49): (.5 point)
Total payment (if 4.50 was achieved): (.5 point)

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