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Home / News & IndustryManaged Care Insight and Analysis
Updated: May 17, 2011
52 New York State Hospitals To Share $19 Million In Quality Improvement Incentives

Fifty-two upstate New York hospitals received more than $19 million in "quality improvement incentive payments" last year from Univera and its Rochester-based parent, Excellus BlueCross BlueShield, as part of their health insurer’s Hospital Performance Incentive Program, the insurers said. The recipients agreed last year to tie payments to their performance.

"By tying our payments to these hospitals, to improvements in health outcomes and patient safety, we’re helping assure that our members and all others get the best quality care and the most value for their health care dollars," said Carrie Frank, Univera’s vice president of quality and health informatics.

The payments were made as part of the insurers’ Hospital Performance Incentive Program, launched in 2004, to evaluate participating hospitals on more than 300 measures of performance. Each hospital works with the carrier to agree on targets, using industry benchmarks.

The program specifically targets clinical outcomes, patient safety, patients’ perception of care, their satisfaction with it, and efficiency. BlueCross BlueShield does not release the exact amount earned by each hospital, citing proprietary reasons, Frank said.

Addresses: Excellus Blue Cross Blue Shield, 165 Court Street, Rochester, NY 14604; (800) 847-1200, www.excellusbcbs.com. Univera Healthcare, PO Box 23000, Rochester, NY 14692; www.univerahealthcare.com.


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

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