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Home / News & IndustryManaged Care Insight and Analysis
Updated: May 12, 2009
First Rewards Paid To New Jersey Doctors Through Participation In BTE

The first rewards are being paid in New Jersey to Bridges to Excellence (BTE) recognized doctors.

The BTE program was first launched in New Jersey in 2008 by a core group of employers, health plans and physicians working together to address specific goals and standards for quality care for diabetes.

Almost 50 physicians will receive the initial incentives.

"The Bridges to Excellence program makes quality a key component in the value equation of healthcare reform," said Cliff Feldman, executive director, Health and wellness benefits for Verizon. "Rewarding doctors who provide higher-quality, evidence-based care, helps drive better results and ultimately lowers healthcare costs."

Employers instrumental in bringing BTE to New Jersey include Verizon (a founding member of BTE),AstraZeneca, AtlantiCare, Novo Nordisk, Public Service Enterprise Group (PSEG) and Trump Entertainment Resorts.

Aetna has shown its commitment to the success of the program by working with employers to include more New Jersey members in the program, including fully insured members, which has resulted in more opportunity for incentives for participating physicians. Other participating health plans are CIGNA, Horizon Blue Cross Blue Shield of New Jersey and UnitedHealthcare, with Aetna, CIGNA and UnitedHealthcare paying initial rewards to physicians.

"Improving the quality and cost of healthcare requires collaboration and commitment from all stakeholders," said Michael Hudson, president, Northeast Region, Health Care Management for Aetna.

The physician community has also been receptive to BTE’s arrival, with efforts championed by medical groups such as Partners In Care Corp. (PIC) and Vista Health System IPA.

Both organizations have endorsed and are actively driving implementation of BTE in New Jersey.

The BTE Diabetes Care Link (DCL) program is designed to improve the quality of care for patients with diabetes.

Physicians who demonstrate they are top performers in diabetes care and employ standards established by the National Committee for Quality Assurance (such as blood pressure and cholesterol control as well as annual foot and eye exams) can earn up to $100 for each diabetic patient covered by a participating employer. Participating employers fund these incentives from the savings they achieve through lower healthcare costs and increased employee productivity that results from delivery of higher quality diabetes care.

"We are pleased to see this effort progress in New Jersey," said François de Brantes, BTE CEO. "Not only will the residents of New Jersey benefit from improved diabetes care through the use of BTE metrics, it is estimated that more than $60 million per year in avoidable healthcare costs could be saved as a result of this program."

Address: Bridges to Excellence, 13 Sugar St., Newtown, CT 06470; (203) 270-2906, www.bridgestoexcellence.org.


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

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