The DHS Hospital HIE P4P Program: What You Need to Know
Resource Library > Article >

The DHS Hospital HIE P4P Program: What You Need to Know

WISHIN has scheduled a webinar on the HIE P4P (Pay for Performance) program on Wednesday, April 11, 2023, at 2:00 PM to provide guidance to hospitals that wish to take advantage of an opportunity to receive thousands of dollars in incentive payments from the Department of Health Services (DHS).

The window is rapidly closing on the opportunity for non-participating hospitals to join the WISHIN network and receive incentive payments.

Approximately 120 hospitals are currently reaping the benefits of the DHS HIE P4P program.

Hospitals that are not yet part of the WISHIN network must act promptly to qualify for the incentives available for Measurement Year 2023 because unlike 2021 and 2022, new participants must complete implementation by the end of the year to earn the 2023 incentives.

Demand is expected to be high, and implementation slots will fill quickly.  Hospitals that act soon will have maximum flexibility in scheduling their implementations.

Wisconsin Act 185, enacted in April 2020, required DHS to implement an incentive program for hospitals that contribute clinical data to the WISHIN network.  The program began in 2021 and is being administered without a withhold for the initial three years.

On average, each annual hospital incentive payment has funded more than two years’ worth of WISHIN fees.  Hospitals that were fully implemented or agreed to do so by the end of 2021 are positioned to collect incentive payments in three consecutive years, funding more than six years of subscription fees on average.

Incentive payments to participate in the WISHN network are paid per interface type and vary based on each hospital’s relative Medicaid claims volume. The maximum incentive available is $120,000 per hospital per year.

The implementation experts at WISHIN can guide hospital IT staff through the implementation process and will handle the attestation needed to ensure that each qualifying hospital receives the incentive payments that are available.

The process starts with a simple email.  WISHIN will present a webinar with more details about the P4P program and the WISHIN implementation process on April 11.  More information is coming soon.