Alliance contracted primary care providers and specialists can receive incentives for supplying access and exceptional care to Alliance members. Our provider incentive programs are funded by local savings earned through prevention, early diagnosis and treatment, and effective chronic disease management.
Care Based Incentives
The successful Care Based Incentive (CBI) program for PCPs is in its sixth year and the 2017 program continues with many of the same measures, as well as several new enhancements. The 2017 CBI program incorporates feedback from a variety of sources, such as provider surveys, Physician Advisory Group and other committees, comprehensive evaluation of the CBI program, and input from the Alliance Board. Modifications were made based on the following CBI goals: 1) improve quality, 2) improve access, 3) improve provider and member satisfaction, and 4) improve care delivery to our members.
For complete information on the CBI Program, please see Section 18 of the Alliance Provider Manual.
Specialty Care Incentives (SCI)
The Specialty Care Incentive (SCI) program compensates participating referral providers for offering Alliance Medi-Cal members access to certain specialty medical services. It is designed to improve member access to specialty care services and encourage specialty care physician participation in the Alliance Medi-Cal program.
For additional information on the SCI program, please see Section 18 of the Alliance Provider Manual.