UTICA, NY – Thirty-eight upstate New York hospitals and health centers last year earned $24.2 million in quality improvement payments from Excellus BlueCross BlueShield as part of its performance incentive program. Since 2005, Excellus BCBS’s program has paid out more than $256 million.

“We are very pleased that continued collaboration with our provider partners has resulted in improved quality of care for the communities we jointly serve.  Aligning incentives across payers and providers will continue to advance care delivery and related outcomes,” said Carrie Whitcher, Excellus BCBS vice president of healthcare improvement.

Ten hospitals in the Utica/Rome/North Country region participated in this program in 2017, sharing $948,447 in quality improvement incentive payments. Participating hospitals included Adirondack Medical Center, A.O. Fox Hospital, Bassett Medical Center, Champlain Valley Physicians Hospital, Community Memorial Hospital, Faxton St. Luke’s Healthcare, Oneida Healthcare, Rome Memorial Hospital, Samaritan Medical Center and St. Elizabeth Medical Center.

In 2017, Excellus BCBS’s Hospital Performance Incentive Program evaluated participating hospitals on 48 unique performance measures. Hospitals that received quality improvement incentive payments achieved 88 percent of all quality improvement targets.

In addition to achieving required clinical and patient safety measures in 2017, other nationally-endorsed measures and target outcomes were jointly agreed upon by each hospital and the health insurer using benchmarks established by the Centers for Medicare & Medicaid Services,  the Institute for Healthcare Improvement, and others.

Areas targeted for 2017 improvement included:

  • Clinical Processes of Care – Focused on improvements in diabetes, chronic obstructive pulmonary disease (COPD), pneumonia, and surgical care, and other measures that may be unique to each participating hospital
  • Patient Safety – Centered on reductions in hospital-acquired infections, readmissions, and other adverse events or errors that affect patient care

Excellus BCBS Awards Hospitals $24.2 Million 

  • Patient Satisfaction – Used the Hospital Consumer Assessment of Healthcare Providers and Systems survey, which is a national, standardized, publicly-reported survey of patients’ perspectives of hospital care

“By improving the processes for caring for people, by concentrating on reducing the number of hospital acquired infections and adverse events, by listening to patients’ concerns, these hospitals are giving our members better quality care and improving their health outcomes,” Whitcher said.

Excellus BlueCross BlueShield, a nonprofit independent licensee of the BlueCross BlueShield Association, is part of a family of companies that finances and delivers vital health care services to about 1.5 million people across upstate New York. Excellus BlueCross BlueShield provides access to high-quality, affordable health coverage, including valuable health-related resources that our members use every day, such as cost-saving prescription drug discounts and wellness tracking tools. To learn more, visit ExcellusBCBS.com.

Lockwood Law

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