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*Regional Notes

BTE RDE Costs: BTE NC pricing template

Physician Assistance:

Clinical-Insights provides Data Abstraction Services to both individual and group practices toward the attainment of NCQA Recognition.  Clinical-Insights offers:

  • Professional staff trained in both the HSRP (Heart/Stroke Recognition Program) and DPRP (Diabetes Physician Recognition Program) recognitions through NCQA who provide data abstraction services in your office with little disruption to your practice.
  • Data abstractors who are experienced with both paper and EMR and who have abstracted more than 1,000 records toward these recognitions.

To learn more about Clinical-Insights Data Abstraction Services and how they might help you toward the attainment of your NCQA Recognition, visit or contact Joanne Mozgo at 919-461-5699 or [email protected].


North Carolina

The collaborative model is important to the Bridges to Excellence stakeholders in North Carolina as an approach to not just merely lowering cost or cost shifting, but also a way to improve the overall health care value (cost and quality). Collaborative members believe it will be beneficial for all parties in the long term to work collaboratively within a “win-win” framework to improve patient outcomes, help consumers change behavior, increase health care value and strengthen stakeholder business performance. 

The North Carolina Collaborative includes health plans that operate in the State and have licensed BTE, like Blue Cross Blue Shield North Carolina (BCBSNC), as well as the active participation of national employers like IBM. The North Carolina State Health Plan was one of the initial purchasers to participate in BTE in order to bring effective care together with systems to ensure consistent care delivery and to reinforce the goal of improving healthcare quality and value. Raleigh and Charlotte are the regional areas of focus but the collaborative will likely expand state-wide. The program will focus upon diabetes, cardiac care and internal physician office practices.  Additionally, the N.C. State Medical Society has voted to support both the Collaborative process and Bridges to Excellence.


Number of Recognized Physicians:

Rewards Paid to Date:
$2.4 million since 2006 (including BCBSNC pilot)

BTE Programs Implemented:
Physician Office Link, Diabetes Care Link, Cardiac Care Link

Geographic Scope of Market: 
Raleigh-Durham area including Chatham, Durham, Wake, Johnston, Franklin and Orange counties; Charlotte area including Mecklenburg, Union, Gaston, Lincoln and Cabarrus counties

Number of Covered Lives in Market:

Participating Employers: Belk Stores , Cisco , Duke Energy , GlaxoSmithKline , IBM , North Carolina State Employee Health Plan , Novant-Presbyterian Hospital , Wachovia

Licensed Health Plan Administrators: Aetna , BCBSNC , CIGNA , United Healthcare

Performance Assessment Organizations and Measures:
National Committee for Quality Assurance (NCQA)

Reward Amounts:

Recognition POL DCL CCL
Level I
Level II
Level III

Next Rewards Cycle:
January 2008

Regional Contacts:

Organization Contact Information Contact Type
Ruth Mennom
[email protected]
BCBS NC pilot program participation and rewards questions
Bridges to Excellence
Jessica DiLorenzo
BTE general information and participation in NC
United Healthcare
Zach Ebeling
[email protected]
UHC patient count and rewards questions in NC
Jim McKinney
[email protected]
Aetna patient count and rewards questions in NC
Shirley O'Quinn
[email protected]
CIGNA patient count and rewards questions in NC



© 2003-2009 Bridges to Excellence, Inc. All rights reserved.
Bridges to Excellence does not endorse any particular product or service or any physician or physician group. Bridges to Excellence relies on third-party performance assessment organizations such as the NCQA and Quality Improvement Organizations to measure a physician or physician's group performance and ability to demonstrate that they meet certain measures of quality care.