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Home / News & IndustryManaged Care Insight and Analysis
Updated: Nov. 25, 2008
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 company said.

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 asthma.

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 scores.

"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 guidelines."

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.


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

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