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Home / News & IndustryManaged Care Insight and Analysis
Updated: Dec. 16, 2008
Anthem Blue Cross Of California Pays Out Over $75 Million In Physician Bonus Incentives

Anthem Blue Cross revealed physician bonus incentives as part of its 2007 HMO Quality Scorecard program.

One hundred and seventy-six participating physician groups throughout the state were paid incentives totaling over $75 million, using Anthem’s Quality Scorecard.

Sharp Rees-Stealy Medical Group, located in San Diego, Calif., is the top-performing physician groupin the state for the third consecutive year.

"Anthem Blue Cross tremendously values the physicians and medical groups in our network and we look forward each year to recognizing those who go above and beyond in the care of our members," said Dr. Michael Belman, medical director for clinical quality and innovations for Anthem Blue Cross. "Since implementing this program in 2001, we've seen the performance level of physician groups increase significantly in both clinical quality and member satisfaction. We particularly commend those who are doing such an outstanding job of conducting preventive screening and those working tirelessly to improve the care of individuals with chronic diseases."

"We are thrilled to have been named the top- performing medical group in the state by Anthem Blue Cross since it demonstrates our commitment to providing the highest quality care and service to our patients," said Dr. Donald C. Balfour, president and medical director for Sharp Rees-Stealy Medical Group.

"A big reason for our success is the dedication and creativity of our people," said Balfour.

"In one instance, a group of concerned doctors, nurses and diabetes educators recently started a preconception counseling program to help women better manage their diabetes before they become pregnant," said Balfour. "While few providers throughout the nation offer such an innovative program, the team at Sharp Rees-Stealy knew that by providing education and screening, they could help women improve their health and prevent birth defects in the future."

The HMO Quality Scorecard program rewards physician groups for improving the quality of care given to HMO patients using health outcomes and patient satisfaction information from a number of clinical and service categories. The quality measures include patient satisfaction surveys, clinical measures, waiting times for appointments, the number of complaints and grievances and a review of medical group or IPA functions.

Performance in managing chronic diseases such as asthma and diabetes and adherence to screening guidelines for breast and cervical cancer were some of the clinical measures tracked.

Address: Anthem Blue Cross of California, 21555 Oxnard St., Woodland Hills, CA 91367; (818) 234-2345,

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

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