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Home / News & IndustryManaged Care Insight and Analysis
Updated: May 11, 2010
Excellus Pays-Out $22 Million In Incentive Payments To NY Hospitals

Proving P4P works; Excellus BlueCross BlueShield awarded 48 hospitals in upstate New York $22 million in incentive payments based on their improved care.

The Hospital Performance Incentive Program began in 2004 using CMS benchmarks to measure the quality of care in participating hospitals. The program focused specifically on clinical outcomes, patient safety, patient perception of care and patient satisfaction and efficiency.

"Hospitals in the program should be applauded for putting some of our payments to them at risk by adding accountability for quality to their business relationship with our health plan. By tying our payments to them to improvements in health outcomes and patient safety, we’re helping assure that our members and all others get the best quality care and the most value for their healthcare dollars," said Carrie Frank, vice president of quality health informatics at Excellus BlueCross BlueShield.

A sample of the hospitals and the measures they received incentive payments for are:

  • Champlain Valley Physicians Hospital Medical Center, Plattsborough – the hospital improved its rate for surgery patients who received appropriate Venous Thromboembolism Prophylaxis within 24 hours prior to surgery to 24 hours after surgery by 33 percent, an increase in rate from 59 percent to 92 percent.
  • United Health Services, Binghamton – the hospital improved its overall rate of Initial Antibiotic received within six hours of hospital arrival by 10 percent, increasing from 84 percent to 94 percent.
  • Unity Hospital, Rochester – had an increase of 25 percent for colorectal surgery patients with Immediate Postoperative Normothermia, improving its rate from 59 percent to 84 percent.
  • Upstate University Hospital, Syracuse – increased by 26 percent its adult smoking cessation/advice counseling rate, increasing from 74 percent to 100 percent the number of adults who received this advice and counseling.

Address: Excellus BlueCross BlueShield, 333 Butternut Drive, Syracuse, NY 13214; (315) 671-6408, www.excellusbcbs.com.


  This article was taken from:
Healthcare Reimbursement Monitor

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