Single-plan Implementations

In states like Texas, Alabama, Arizona and Washington, a health plan is actively rewarding Recognized physicians

Texas

Within Texas, Blue Cross Blue Shield of Texas (BCBS TX) and Aetna are both participating in BTE Care Recognition programs. 

BCBS TX started with the Diabetes Care Recognition program, and as of May 2010 has paid an estimated $118,600 in physician rewards. After successfully increasing the number of Recognized physicians that provide quality care to patients with diabetes, in June 2010 BCBS TX expanded its sponsorship to include implementing the Cardiac Care Recognition program. The goal of both statewide programs is to improve the care provided to patients diagnosed with diabetes and cardiovascular disease, and to financially reward BCBS TX network physicians for providing exceptional care. BCBS TX is the only health insurer to implement both programs statewide in Texas.

Aetna is committed to ensuring the delivery of quality services to members and is the first health plan in Austin to introduce BTE Recognition programs. Aetna is currently engaged in implementing the Cardiac Care Recognition program. Participating physicians earning BTE Recognition will automatically earn BTE financial rewards. These physicians will also be recognized in the Aetna provider online directory DocFind®.

Alabama

Blue Cross Blue Shield of Alabama is a current licensee of HCI3 and is using the Diabetes Care Recognition program to trigger rewards payment.  Blue Cross and Blue Shield of Alabama partnered with healthcare providers and employers statewide to establish the Alabama Health Improvement Initiative (AHII), a collaborative approach to rewarding physicians who deliver high-quality care.  The first phase of the program, which focuses on diabetes care, rewards general and specialty physicians identified through the NCQA Diabetes Physician Recognition Program.  Later phases of the program will recognize superior performance among physicians in other care areas.  After receiving NCQA recognition, each qualified physician is publicly recognized, receives a $1,500 recognition reward and becomes eligible for annual incentives of up to $20,000 per year or a maximum of $50,000 over a three-year period.

Washington

In Washington, Aetna is paying out cash rewards for physicians who achieve Recognition under the BTE Diabetes Care Recognition program.

Arizona

In Arizona, Aetna is paying out cash rewards for physicians who achieve Recognition under the BTE Diabetes Care Recognition program.