Create a Contract
Create a new MSSP contract in Console.
In the Console, you can define the contract terms and additional parameters using the tool’s form filling capabilities. Each new performance period requires a new entry into the Console. The system stores user credentials, date, and time the contract was uploaded. You can use search and filter to locate contracts that were previously uploaded.
To create an MSSP contract:
- Open the Console application.
- Select Contract Performance Configuration.
- Select Add New Contract to create an MSSP contract.
- Complete MSSP form fields.
- Select Submit to save new contract build.
The following fields are available for MSSP contract creation. The attributes below are included in the MSSP contract form.
Table 4-2 Contract Fields
| Attribute | Required | Definition | Use |
|---|---|---|---|
| Benchmark Expenditure | Yes | The benchmark defined by CMS for the contract. This benchmark value is used for estimated financial performance calculations. | Performance |
| Budget | No | The organizational budgeted payout earnings for the contract. The budget value is informational only and can serve as a target line relative to financial earnings estimations. | Informational |
| Claims Source | Yes | Claim source selection is used to verify the data sources that contribute to financial and cost calculations for the contracted lives. | Performance |
| Comments | No | Add comments to the contract. | Informational |
| Contract Category | Yes | The contract category. The contract category defines the additional metadata that is tracked as part of the category such as shared savings with pay for performance. This is an optional field and does not impact contract outcomes. | Informational |
| Contract Name | Yes | A tenant-defined name for the contract. | Informational |
| Contracting Entity/ACO | Yes | The entity in the tenant that holds the contract. For example, a customer tenant has multiple ACOs or contracting entities. ACO x holds the contract that is being uploaded and is responsible for managing the enrolled members. | Informational |
| Enrollment Source | Yes | Enrollment source selection is used to verify the source of enrollment in conjunction with plan selection for member identification. | Performance |
| Initial term end date | No | The end of the contract term. This date does not affect performance calculations and is informational only. | Informational |
| Initial term start date | No | The start of the contract term. This date does not affect performance calculations and is informational only. | Informational |
| Line of Business | No | The line of business associated with the contract. The selection options are based on the tenant’s payer plan reference standardization file. | Informational |
| Member Attribution Methodology | No | This is informational and provides details of how the members are assigned. This field selection does not impact performance outcomes. | Informational |
| MSSP Level | Yes, for MSSP basic track | A list of the CMS-defined MSSP level options. Define level of participation in basic track. The selection of this field impacts financial performance outcomes. | Performance |
| MSSP Track | Yes | A list of the CMS-defined MSSP track options. The selection of this field impacts financial performance outcomes. | Performance |
| Payer | Yes | The payer of the contract. The selection options are based on the tenant’s payer reference standardization file. | Informational |
| Performance Period end date | Yes | The performance period end date for the contract. This date impacts performance calculations. | Performance |
| Performance Period start date | Yes | The performance period start date for the contract. This date impacts performance calculations. | Performance |
| Plan(s) | Yes | The health plan products associated with the contract. The selection options are based on the tenant’s payer reference standardization file. Multiple plans can be associated with a contract. | Performance |
| Population | Yes | The HDI population used to define the sources that make up the longitudinal record for patients and measurement outcomes.
Note: This field must be filled out for the the Claims Source and Enrollment Source values to be populated. |
Performance |
| Projected Earnings | No | The organizational projected annual earnings for the contract. The projected earnings value is informational only and can serve as a projection line relative to financial earnings calculations-based customer data entry. | Informational |
| Reporting Projects | Yes | Analytics project that contains the measures associated with the contract. | Performance |
| Target | No | The organizational stretch goal for the contract payout earnings. The target value is informational only and can serve as a target line relative to financial earnings estimations. | Informational |
Parent topic: Contract Performance