BCBS of Rhode Island Incentivizes High Quality

  • Small
  • Medium
  • Large
Blue Cross & Blue Shield of Rhode Island has launched the Hospital Quality Program, which realigns financial incentives so hospitals that provide high-quality patient care receive more compensation.

The program relies on hospital metrics that measure treatment quality around specific conditions, such as pneumonia and heart disease. Many of those metrics are gleaned from Hospital "Discharge Best Practice" Measures, which were created by Quality Partners of Rhode Island, the Rhode Island Quality Institute, local hospitals and local physicians in collaboration with state health plans. The metrics also assess patient perceptions regarding their healthcare experience.


Sign up for our FREE E-Weekly for more coverage like this sent to your inbox!

Under the terms of the program, base hospital reimbursement increases are aligned with inflation, with additional financial incentives available to hospitals that successfully meet the agreed-upon quality scores.

So far, 90 percent of the hospitals in the BCBSRI network have agreed to participate in the program this year. BCBSRI hopes for 100 percent participation by the end of 2012.

Related Articles on Quality:

CMS: Two Southwest Healthcare Hospitals Back in Compliance
Medicare Health Support Pilot Program Fails to Cut Costs or Improve Quality
xtra Nurse Practitioner Can Reduce Unnecessary Emergency Department Visits

Copyright © 2021 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.


Patient Safety Tools & Resources Database

Featured Webinars

Featured Whitepapers

Featured Podcast