Return home

Excellus BCBS awards hospitals $30M for quality improvements

Posted 2/16/22

UTICA — Thirty-one upstate New York hospitals and health centers earned a combined $30 million in quality improvement payments from Excellus BlueCross BlueShield last year as part of the nonprofit …

This item is available in full to subscribers.

Excellus BCBS awards hospitals $30M for quality improvements

Posted

UTICA — Thirty-one upstate New York hospitals and health centers earned a combined $30 million in quality improvement payments from Excellus BlueCross BlueShield last year as part of the nonprofit health insurer’s Hospital Performance Incentive Program.

“It’s part of our mission to ensure that all in our communities have equitable access to high quality health care,” said Melissa Gardner, executive vice president, chief population health engagement officer at Excellus BCBS. “The foundation for achieving that is a collaborative relationship with our local hospital and physician partners.”

Eight hospitals in the Utica/Rome/North Country region participated in this program in 2021, sharing $851,000 in quality improvement incentive payments, Excellus said.

Participating hospitals included:

-Adirondack Medical Center-Saranac Lake;

-Champlain Valley Physicians Hospital in Plattsburgh;

-Faxton St. Luke’s Healthcare in Utica;

-Bassett Medical Center in Cooperstown;

-Oneida Health;

-Rome Health;

-Samaritan Medical Center in Watertown; and

-St. Elizabeth Medical Center, in Utica.

“In 2021, Excellus BCBS’s Hospital Performance Incentive Program evaluated participating hospitals on projects that are in alignment with and responsive to the ever-changing health care environment,” said Stephen Cohen, M.D., senior vice president and corporate medical director at Excellus BCBS. “Although COVID is still a dominant issue for the hospitals, the best evidence that this collaboration is a success is that our partners are able to maintain focus on continuous quality improvement.” 

Areas targeted for improvement in 2021 included:

Clinical Processes of Care – Focused on improvements in follow up after hospitalization, diabetes, chronic obstructive pulmonary disease (COPD), surgical care, and other measures 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; and

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.

In addition to meeting required clinical and patient safety measures in 2021, 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.

Since 2005, Excellus BCBS has paid out more than $371.2 million in quality improvement incentives.

Comments

No comments on this item Please log in to comment by clicking here