New Information on the DHS P4P Program

DHS has moved to a 1.5% withhold for all fee-for-service (FFS) inpatient and outpatient encounters through the HIE pay-for-performance (P4P) program effective January 1, 2025. Of the 171 eligible hospitals, more than three-quarters of them are now participating in WISHIN and will take advantage of the opportunity to claw back all or part of the withhold.

WISHIN is an independent, not-for-profit, vendor-agnostic health information exchange network that differs from others in that it enables immediate and meaningful clinical and whole-person data-sharing among all participants across the entire whole-person and healthcare delivery system. There are more than 2,200 sites of care participating in the network with 14,000 users accessing 500,000+ medical records per month.

The eligible hospitals that obtain a “live” status contributing ADT, CCDA, Laboratory, Pathology and Radiology to WISHIN are eligible to receive all (or a portion) of their IP/OP FFS withhold back.

WISHIN anticipates the updated DHS MY2025 HIE P4P Guide to be released in the next few months.

WISHIN encourages all eligible hospitals to reach out today and secure the ability to claw back the 2025 withhold. Contact WISHIN today wishin@wishin.org.