Clinician Recognition
Plan
The Clinician Recognition Plan allows us to
take a step in recognizing primary care physicians
and other clinicians whose practices exemplify
those characteristics that we want to encourage
among providers throughout our network. These
characteristics include adherence to evidence-based
medicine, which is the basis for our clinical
quality measurements, and efficient use of health
care resources, which we call cost efficiency.
The recognition plan is a first step toward
linking clinical quality and cost efficiency
to reimbursement. We have begun with primary
care because this is the area in which sufficient
standards for measuring adherence to evidence-based
medicines have been established. We are working
with our vendor partner, Health Benchmarks Inc.,
and community physicians to expand the quality
measures to other specialties.
As a leading health plan in our community, we
believe we need to improve how health care is
being delivered. As employers continue to migrate
towards benefit plans that transfer more financial
responsibility to the member at the point of
service, there is a growing demand for more robust
information regarding cost and quality.
To provide feedback or get clarification please e-mail
us.
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