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Innovations in Recognizing and Rewarding Quality

Review of innovative approaches that health plans have taken to advance the quality and efficiency of care.

Download the full report. 

Report by Topic Area

1. Physician Programs 
2. Hospital Programs 
3. Collaborative Programs 

Report by Company

Aetna 

• Physician Incentive Programs 
• Pathways to Excellence^SM Hospital Incentive Programs 

Anthem Blue Cross and Blue Shield 

• Anthem Quality Insights–Primary Care Quality Incentive Program 
• Quality-In-Sights^®: Hospital Incentive Program and Quality Physician Performance Program 

Blue Cross and Blue Shield of Florida 

• Recognizing Physician Excellence Program 

Blue Cross Blue Shield of Massachusetts 

• Group Performance-Based Incentive Program 
• Primary Care Physician Incentive Program 
• Hospital Performance Incentive Program 

Blue Cross Blue Shield of Massachusetts, Neighborhood Health Plan, and Tufts Health Plan 

• eRx Collaborative 

Blue Cross and Blue Shield of Minnesota 

• Minnesota Clinic Fax Referral Program 

CIGNA and Dartmouth-Hitchcock Healthcare System 

• Medical Home Collaboration 

CIGNA HealthCare and Methodist Healthcare 

• Hospital Rewards Program 

Geisinger Health Plan 

• ProvenHealth Navigator 
• Physician Quality Summary 

Harvard Pilgrim Health Care 

• Quality Advance Program 

HealthPartners 

• Partners in Quality 

Highmark Blue Cross Blue Shield 

• QualityBLUE Physician Pay for Performance Program 
• QualityBLUE Hospital Pay for Performance Program 

Horizon Blue Cross Blue Shield of New Jersey 

• Physician Recognition Program 
• Hospital Recognition Program 

Independence Blue Cross 

• Primary Care Physician Quality Incentive Payment System 
• Hospital Quality Incentive Payment System 

Integrated Healthcare Association 

• California Pay for Performance Program 

MVP Health Care 

• Primary Care Pay for Performance Program 

Rhode Island Department of Human Services, Blue Cross & Blue Shield of Rhode Island, Neighborhood Health Plan of Rhode Island, and UnitedHealthcare of New England 

• RIte Care 

Tufts Health Plan 

• Provider Network P4P Program 

UCare 

• Minnesota Health Care Programs P4P Plan and Medicare P4P Plan 

UnitedHealthcare/PacifiCare 

• Quality Incentive Program