Pay for performance/incentives

Innovations

Statewide Program Offers Technical and Financial Support to Physician Practices, Enabling Them to Become Medical Homes and Improve Access and Quality 08/06/12

A statewide, multipayer pilot program provides technical and financial support to physician practices interested in becoming patient-centered medical homes, leading to all participating practices being recognized as medical homes and to anecdotal reports of better access and higher quality.

Multidisciplinary Team, Real-Time Information, and Incentives Help Medical Homes Improve Mental Health and Patient Experience, Reduce Utilization and Costs 06/25/12

As part of a statewide public-private initiative, the diverse Burlington (Vermont) health service area supports 18 patient-centered medical home practices via a multidisciplinary team, real-time electronic information, and financial incentives, leading to more appropriate care, better health outcomes and patient experiences, and lower utilization and costs.

Multifaceted Program Featuring Guideline, Training, and Incentives Reduces Prescribing of High-Dose Opioid Therapy in Patients With Chronic Pain 05/25/12

A large health plan's multifaceted program promotes appropriate prescribing and monitoring of opioid therapy for patients with chronic pain not caused by cancer, leading to enhanced physician knowledge and confidence related to prescribing, greater use of care plans and drug screening, and fewer patients on high-dose therapy.

Medicaid Managed Care Plan Offers Patient-Specific, Pay-for-Performance Program, Leading to Improvements in Immunization Rates and Diabetes Care 05/23/12

A Medicaid managed care plan offers a patient-specific pay-for-performance program tailored to the needs of both large and small practices serving vulnerable populations, leading to improvements in immunization rates and diabetes care.

Insurer Provides Financial Incentives, Infrastructure, and Other Support To Stimulate Provider Participation in Quality Improvement Collaborations 05/21/12

A large insurer offers financial incentives and other support to provider-led quality improvement collaborations, leading to high levels of provider participation, higher quality, lower costs, and a positive return on investment.

Insurer Contracting Program Features 5-Year Terms, Accountability Across Continuum, and Substantial Incentives, Leading to Spending Slowdown and Higher Quality 05/18/12

A large insurer offers provider organizations 5-year contracts that feature accountability for costs and quality across the continuum of care, leading to broad participation, significant provider investments in delivery system redesign, a slowdown in spending growth, and higher quality.

Statewide Program Supports Medical Homes Through Multidisciplinary Teams, Easy Access to Information, and Incentives, Leading to Lower Costs and Better Care 05/18/12

A statewide program supports physician practices through multidisciplinary community-based health teams, preventive health expertise, easy access to needed information via electronic systems, and financial incentives, leading to lower utilization and growth in health care spending and enhanced provision of appropriate services.

State Agency Promotes Integrated Mental Health and Addiction Treatment for Co-Occurring Disorders, Leading to Better Access and Positive Outcomes 05/17/12

A state mental health and addiction services agency implemented policies to promote integrated treatment for those with both mental health and substance use disorders, leading to enhanced access to high-quality services and positive patient outcomes.

Culturally Competent Disease Management Improves Self-Monitoring and Blood Pressure Control in Hypertensive African Americans 02/09/12

A health plan–sponsored disease management program targeting African Americans combines home blood pressure monitoring with culturally competent education and counseling, leading to better self-monitoring and blood pressure control.

Pharmacists Support Employees and Physicians in Managing Chronic Conditions, Leading to Better Care and Disease Control, Lower Costs, and Higher Productivity 01/10/12

Pharmacists provide ongoing chronic care management support to employees and their physicians, leading to greater adherence to recommended care processes and self-management behaviors, lower costs, higher productivity, and a significant return on investment.

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