The apricus health network provides a transparent payment model that pays providers based on your group’s performance, not the entire ACO network.
Guaranteed payment for groups starting in 2022 for Wellness Visits Quality, and Patient Management.
The example below shows payments for a patient panel of 1,000 members.
- Beneficiary Count: 1,000
- AWV Completion Rate: 75%
- MLR % = 88%
Care Services
Medicare
Apricus Added Value
Group Yearly Total
FSS
100%
103%
$
0
Annual Wellness Exam
No Additional Payment
$300
$
0
Quality Bonus (PMPM)
NA
6
$
0
Patient Management (PMPM)
NA
6
$
0
Guaranteed Payment
NA
Yes
$
0
+
MLR% Provider Group Savings
50%
$
0
MLR% AHN Savings
50%
$
0
MLR% Shared Savings Total
NA
Yes
$
0
=
Gauranteed Payment w/ MLR% Shared Savings
$
0
