After careful evaluation, we've decided not to implement our QIP for the 2025 measurement year. This decision gives us the time needed to work towards future programs that aim to better serve both our providers and members.

What this means for you:

• Care gap closure for QIP will not be incentivized and there will be no payout for the 2025 measurement year.
• We encourage you to continue closing care gaps to benefit your Individual on-exchange attributed members’ health outcomes. To help you, care gaps will continue to appear in CGMA throughout the year.
• Reporting accessed through CGMA will indicate open and closed gaps for attributed members.

Thank you for your ongoing dedication to providing excellent patient care.

Questions?

• View our 2025 QIP FAQ

Visit Quality in Action for our best practices newsfeed and resources to improve patient care.

While there are no financial incentives attached to QIP for 2025, you can still review gaps within the CGMA.

• Our Quality Measures Guide (PDF) provides more information on measure specifications and gap closure criteria.

• Risk adjustment:
  Information about risk adjustment care gaps can now be accessed through the CGMA. These reports are available to illustrate the whole picture of the patient and empower each member’s care team with up-to-date information they need to provide the best quality care.

  • Risk adjustment care gap reports are available through the main menu in the top right-hand corner in the CGMA.
    * Note: Risk adjustment care gaps are accessible to offer additional insights to a patient’s health and wellbeing.

We communicate with you about our QIP, quality initiatives and programs through our bimonthly provider newsletter, Provider News. Subscribe today.

Program questions: If you have questions about the incentive program, measure criteria, gap data submission requirements or EMR data extract specifications, please email us.

CGMA questions: If you have questions about using the CGMA, contact Novillus. Email.