|Blue Shield Of California Awards $29.5 Million In P4P Bonuses In 2008
Blue Shield of California said it is awarding $29.5
million in performance bonuses to medical groups and independent
physician associations (IPAs) in California.
Nearly half of the payments are part of the Integrated
Healthcare Association (IHA) pay-for-performance program, which rewards
providers for the quality of their healthcare services, including
clinical care, patient experience and use of information technology.
This year, in accordance with IHA criteria, Blue Shield
will pay medical groups and IPAs based on attainment and improvement
for clinical and patient experience measures, with 80 percent of the
payout related to performance and 20 percent to improvement, the
Blue Shield said it uses the IHA standards to track and
reward physician organization performance on a range of clinical
factors, including childhood immunizations, diabetes management,
cholesterol management and use of appropriate medications by those with
This year, Blue Shield said it is also helping medical
groups that ranked in the bottom 25th percentile of the IHA
pay-for-performance program to identify steps to improve their clinical
"Paying for performance leads to better quality
healthcare," said David Joyner, Blue Shield’s senior vice
president, network management. "We are committed to encouraging best
practices by paying physicians more for following proven medical
Since the launch of the pay-for-performance programs in
2003, Blue Shield said the most notable clinical impacts for its
members have been in the areas of breast cancer screening, cervical
cancer screening, Chlamydia screening and control of HbA1c levels for
patients with diabetes.
Address: Blue Shield of California, 50 Beale St., San Francisco, CA 94105; (415) 229-5000, www.blueshieldca.com.