Sunshine Health Offers C-Section Birth Incentive for Obstetricians (OBs)
Date: 03/17/26
Sunshine Health offers an incentive to obstetricians (OBs) who meet C-section birth targets in their Agency for Healthcare Administration (AHCA) region.
The goal of this program is to safely reduce the number of C-section births taking place.
OB providers can earn an additional $500 per quarter if they meet the C-section birth target set in their ACHA region for a total of up to $2,000 for the year. Providers will be paid once a year for the quarter(s) in which they reach their regional target.
What providers are eligible?
Obstetricians (OBs) are the only providers eligible.
How is this information being captured?
Sunshine Health utilizes claims data to verify C-section births.
How will payments be applied?
The incentive is applied at the Taxpayer Identification Number (TIN) level of the provider/group.
What is the criteria?
- OB providers must have a minimum of 25 deliveries per quarter (Note: Providers can qualify for all four quarters).
- OB providers C-section birth rates must meet the regional targets per quarter indicated below.
What is the percentage target per region?
The C-section birth target is broken up into four quarterly targets. OB providers have the potential to earn the incentive each quarter if they meet their regional target.
AHCA Region | Regional |
|---|---|
Region A | 17.3% |
Region B | 15.4% |
Region C | 16.9% |
Region D | 15.8% |
Region E | 15.8% |
Region F | 16.1% |
Region G | 17.2% |
Region H | 19.7% |
Region I | 22.6% |
Questions?
Sunshine Health has a wealth of resources available to help answer your questions and address your concerns:
- Provider Support: Finding the Right Contact
- Provider Services: Call 1-844-477-8313
- Secure Provider Portal: Visit the Secure Provider Portal to check member eligibility, submit claims and more.
- Provider Engagement: Use the Find Your Account Manager tool to find the Provider Engagement Account Manager (PEAM) supporting your specialty and region.
- Claim Concerns: Resolve outstanding claims using the Claim Concerns form.
- Provider News: Bookmark Provider News to keep up with the latest updates.
- Provider Newsflash: Subscribe to our e-newsletter to get regular updates.
- Provider Resources: Visit Manuals, Forms and Resources to find provider manuals, important forms, scheduling standards and other resources.
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