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Home / News & IndustryManaged Care Insight and Analysis
Updated: March 3, 2009
HMSA Pays Physicians And Hospitals Nearly $21 Million In Quality Incentives

The Hawaii Medical Service Association (HMSA) said it invested $20.7 million this year in incentive programs to improve the quality of the state’s healthcare system.

Hospitals received $6.2 million, HMO health centers received $4.6 million, and physicians and practitioners received $9.9 million in awards for quality, efficiency and patient safety, HMSA said.

The annual awards are above and beyond the regular reimbursements and fee adjustments healthcare providers receive from HMSA.

HMSA’s Practitioner Quality and Service Recognition (PQSR) program has been in place for 11 years, and the number of physicians voluntarily participating has grown to 2,465 in 2008. The PQSR program evaluates physicians and issues awards to those who maintain a high level of patient care and servicebased on best practice guidelines, HMSA said.

Since 1998, HMSA has awarded $83.45 million to Hawaii physicians and practitioners for meeting PQSR program measures for healthcare quality, patient safety, patient satisfaction and efficiency.

HMSA has a similar pay-for-performance program for Hawaii’s 17 hospitals. The Hospital Quality and Service Recognition (HQSR) program recognizes facilities for delivering efficient, quality care that focuses on patient safety and physician/patient satisfaction. The HQSR program encourages the delivery of high-quality, error-free care, and helps hospitals identify opportunities for quality improvement, HMSA said.

Since 2001, HMSA has awarded $46.2 million to Hawaii hospitals through the HQSR program.

HMSA also has a program for 23 HMO health centers. Since 1998, the HMO Quality and Performance program has awarded $28.7 million to health centers across the state.

Address: Hawaii Medical Services Association, 818 Keeaumoku St., Honolulu, HI 96814; (808) 948-6297, www.hmsa.com.


  This article was taken from:
Pay-For-Performance Reporter

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