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
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.