Medicare Advantage Quality Incentive Program

Program guidelines and structure

The following guidelines apply to our Medicare Advantage Quality Incentive Program (MA QIP); participation in the program is voluntary. We encourage you to log in to the Care Gap Management application (CGMA) to opt in. We collaborate with our MA-contracted PCPs through our MA QIP, which offers financial incentives to reward our partners who address gaps in patient care, focus on outstanding member experience and submit high-quality structured data resulting in improved health outcomes for our MA members.

See the tabs below for information about:

  • Eligibility and payout
  • Member attribution
  • Program incentive categories
  • MA QIP gap closure
  • Measure specifications
  • The CGMA

Eligible providers can earn incentives in the following categories (details are in the program incentive categories tab below):

  • Medicare Star Rating measure gap closure
  • Member experience measure
  • Risk adjustment/chronic condition gap closure
  • Preventive care visits (PCV)
  • Personalized care support
  • Structured supplemental data submission (SDS)
  • Hybrid CAHPS/HOS survey (selected provider groups only)

2024 Medicare Advantage Quality Incentive Program (MA QIP)

The following tabbed guidelines apply to our 2024 Medicare Advantage Quality Incentive Program (MA QIP).