Award Fee Average MAC Earned Overall

What is Measured?

The Award Fee (AF) Program’s purpose is to measure and reward exceptional performance above what is outlined in the Statement of Work including, but not limited to: Provider Customer Service, Appeals, System Security, Medical Review, Debt Management, and Audit and Reopening Quality.

Performance Data 

Fiscal Year Average Percentage of Award Fee Earned Low Median High
2015 69% 47% 67% 94%
2016 73% 0% 78% 96%
2017 74% 0% 77% 100%
2018 78% 43% 79% 95%

*All of this data represents a combination of Part A, Part B, and DME MAC data and all contracts are weighted equally.

Trends and Observations

An overall positive trend can be observed from Fiscal Year 2015 – 2018. Specifically, there has been an increase in performance each year and an overall increase of 9 percentage points (13 percent increase) since 2015 as well as an increase in the highest and median scores during the period. CMS conducts regular analysis, addressing requirement conformance issues as warranted and annually calibrating the award fee performance metrics.

Page Last Modified:
09/27/2019 11:50 AM