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Percentage held back from provider payments

Valley Medical Group × Westside IPA × Dr. Chen PCP ×
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Existing Pools
5 pools
Distribution Rule Reference
RuleDescription
ProportionalDistributed by each provider's capitation share
EqualSplit evenly among all participating providers
Quality-AdjustedWeighted by quality score performance
Page Guide
Pool Configuration Overview

Risk pools collect and distribute funds among participating providers based on defined rules.

  • Define pool type, funding source, and withhold %
  • Select distribution logic for settlements
  • Assign participating providers
  • Pools are settled per the defined period
Pool Types
Withhold Strategy
Tips
📖 User Manual 🔧 Admin Manual
Edit Pool Configuration
THRESHOLDS
DISTRIBUTION RULES
SETTLEMENT SCHEDULE
Confirm Configuration Change
⚠ Review Before Applying
Configuration changes affect settlement calculations for all providers in this pool.
Surplus Threshold: $125,000
Deficit Threshold: $75,000
Effective: immediately
This action is logged in the audit trail. Changes take effect on the next settlement run.