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Excellus BCBS Awards Hospitals $25.7 Million for Quality Improvements
For Immediate Release: 2019-02-19
Rochester, NY –
Thirty-six upstate New York hospitals and health centers last year shared $25.7 million in quality improvement payments from Excellus BlueCross BlueShield. The nonprofit health insurer’s performance incentive program was established in 2005. Thus far, it has paid out more than $282 million in quality improvement incentives.
“When a health insurer collaborates with health care providers, as we are doing with this hospital quality program, health outcomes improve,” said Carrie Whitcher, Excellus BCBS Vice President Health Care Improvement.
Finger Lakes (Rochester) Region
Eight hospitals in the Finger Lakes region participated in this program in 2018, sharing $12.3 million in quality improvement incentive payments. Participating hospitals included Clifton Springs Hospital, F.F. Thompson Hospital, Highland Hospital, Newark-Wayne Community Hospital, Nicholas H. Noyes Memorial Hospital, Rochester General Hospital, Strong Memorial Hospital and Unity Hospital.
Central New York
Seven hospitals in the Central New York region participated in this program in 2018, sharing $5.6 million in quality improvement incentive payments. Among the participants were Cortland Regional Medical Center, Crouse Hospital, Oswego Hospital, St. Joseph’s Hospital Health Center and Upstate University Health System (two sites).
Utica, Rome, North County
Eight hospitals in the Utica/Rome/North Country region participated in this program in 2018, sharing $1 million in quality improvement incentive payments. Participating hospitals included Adirondack Medical Center, Bassett Medical Center, Champlain Valley Physicians Hospital, Faxton St. Luke’s Healthcare, Oneida Healthcare, Rome Memorial Hospital, Samaritan Medical Center and St. Elizabeth Medical Center.
Five hospitals in the Southern Tier region participated in this program in 2018, sharing $6.1 million in quality improvement incentive payments. Participating hospitals included Arnot Ogden Medical Center, Corning Hospital, Our Lady of Lourdes Memorial Hospital, and United Health Services (two sites).
Western New York
Eight hospitals in the Western New York region participated in this program in 2018, sharing $590,227 in quality improvement incentive payments. Participating hospitals included Erie County Medical Center, Kaleida Health (four sites), Roswell Park Comprehensive Cancer Center, United Memorial Medical Center and UPMC Chautauqua WCA.
“In 2018, Excellus BCBS’s Hospital Performance Incentive Program evaluated participating hospitals on 59 unique performance measures,” said LouAnne Giangreco, M.D., Excellus BCBS Vice President and Chief Medical Officer for Health Care Improvement. “We credit our hospital partners for their continuous commitment to quality improvement, and for achieving 77 percent of all quality improvement targets.”
In addition to achieving required clinical and patient safety measures in 2018, 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 2018 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
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
“We fully appreciate the partnership we’ve developed with providers for the last several years in the spirit of optimizing patient care and influencing overall outcomes. It is through these types of collaborations that we can mutually seek to improve the quality of care across upstate New York,” Whitcher said.
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Excellus BlueCross BlueShield, an independent licensee of the Blue Cross Blue Shield Association, is a nonprofit health plan with 1.5 million upstate New York members. The company's mission is to help people live healthier and more secure lives through access to high-quality, affordable health care. Its products and services include cost-saving prescription drug discounts, wellness tracking tools and access to telemedicine. With more than 3,500 employees, the company is committed to attracting and retaining a diverse workforce to foster innovation and better serve its members. It also encourages employees to engage in their communities by providing paid volunteer time off as one of many benefits. To learn more, visit ExcellusBCBS.com.