Gross Savings
$900,000
Actual vs Risk-Adjusted Benchmark
Net Shared Savings
$810,000
After quality withhold ($90K earned)
Quality Score
87.4%
Earned 97% of quality withhold
Distribution Waterfall
Per-Provider Distribution
ProviderCap ShareQuality ScoreBase DistributionQuality BonusTotal
Net Savings Distribution
IPA — 60%
$486,000
Plan — 40%
$324,000
Quality Measures
87.4% / 100
MeasureWeightScoreStatus
HEDIS Diabetes HbA1c25%91%Met
Preventive Screenings20%88%Met
Patient Satisfaction20%82%Partial
Readmission Rate20%89%Met
Generic Rx Rate15%79%Partial
Benchmark Summary
Original Benchmark$12,400,000
Risk Adjustment-$600,000
Risk-Adjusted Benchmark$11,800,000
Actual Expenditure$10,900,000
Gross Savings$900,000
Page Guide
Shared Savings Overview

Shared savings occur when actual expenditures are below the risk-adjusted benchmark. The resulting savings are distributed between the IPA and the plan.

  • Quality withhold is earned back based on performance
  • IPA receives 60%, Plan retains 40% of net savings
  • Per-provider amounts are based on capitation share
Calculation Steps
Risk Adjustment
📖 User Manual 🔧 Admin Manual
Shared Savings Calculation
Total Shared Savings: $284,200
Pool: Primary Care Risk Pool 2025  |  Period: Q4 2024
Benchmark: $2.4M  |  Actual Claims: $2.116M  |  Savings Rate: 11.8%
ALLOCATION BREAKDOWN
Valley Medical Group$98,470 (34.6%)
Westside IPA$74,890 (26.3%)
Dr. Chen PCP Network$56,840 (20.0%)
Pacific Primary Care$54,000 (19.0%)
Distribution method: Pro-rata by membership  |  Quality bonus applied: Yes
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