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Home / News & IndustryManaged Care Insight and Analysis
Updated: Oct. 14, 2008
Passport Health Plan Enhances P4P Program

Passport Health Plan has extended its relationship with ikaSystems, a provider of enterprise-level Web-based technologies for the payer market, to further enhance its primary care provider quality recognition program.

Using ikaProHEDIS+ and ikaP4P, comprehensive quality analysis and reporting systems, Passport can give its provider community more current quality information faster than ever before, helping physicians earn performance bonuses while decreasing the administrative burden of the program.

"Passport has developed a comprehensive program to reward those providers who consistently demonstrate excellence as well as to motivate all providers to improve their performance in the categories of health outcomes, member satisfaction, access to care and cost containment," said DeDe Davis, vice president of operations at Passport Health Plan. "Our providers are eager for current information that allows them to proactively monitor their progress toward quality goals, and ikaProHEDIS+ and ikaP4P will allow us to keep them fully informed while reducing the reporting burden on their staff as well as our staff."

Passport began partnering with ikaSystems in 2000, using the company’s ikaProfyle, ikaUA andikaHEDIS products to compare and communicate provider quality metrics and support the NCQA accreditation process. As a result, Passport’s Early and Periodic Screening, Diagnosis and Treatment compliance rate moved from 88 to 93 percent in a year’s time.

In addition, Passport was able to increase its membership while maintaining per-member per-month medical expense increases to less than 5 percent annually, significantly lower than the national average. Today, the organization serves over 145,000 members across 16 counties in Kentucky.

With the addition of ikaProHEDIS+ and ikaP4P modules, Passport gains the ability to support a sophisticated pay-for-performance program developed in close collaboration with its provider community, using a broad range of quality metrics and allowing physicians to have earlier access to the type of information that will help them maintain or improve their quality scores.

All quality programs can be monitored and managed with one system, which draws upon a single data warehouse that can contain claims, laboratory, pharmacy, encounter data, practice management and electronic medical record information. In addition, physicians can clearly see the impact of incremental quality improvement on their payment.

Address: Passport Health Plan, 305 West Broadway, 3rd Floor, Louisville, KY 40202; (502) 585-7900, www.passporthealthplan.com.


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

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