Participation Overview

BTE's mission is to improve the quality of care through rewards and incentives that focus on both health care providers and patients:


  • Encourage providers to deliver optimal care
  • Recognize and reward providers who demonstrate that they have implemented comprehensive solutions in the management of patients, and that they deliver safe, timely, effective, efficient, equitable, and patient-centered care


  • Encourage patients to seek evidence-based care
  • Reward patients with chronic diseases who take an active role in managing their own care and achieve target goals aimed at improving their health

BTE's focus is defined in several key areas:

  • BTE involves 3 key programs that target office practices, diabetes care, and cardiac care
  • Program costs are paid by participating purchasers, based on their count of member patients
  • Roll-out is occurring in selected market areas, to find out if BTE is available in your area, click here to find your state.
  Physician Office Link Diabetes Care Link Cardiac Care Link
Performance incentive Population-based
up to $50 per patient per year for top performance
$80 per diabetic patient per year
Up to $160 per cardiac patient per year
Frequency Yearly Yearly Yearly
Targeted Provider All physicians PCPs and Endocrinologist PCPs and Cardiologist
Patient Engagement Provider report card

DiabetesCareRewards, Certified Diabetic Educators

CardiacCareRewards, Certified Dieticians
*Expected Costs & Savings

Cost = up to $50 per patient per year (at most)

Gross Savings = $110 per patient per year

Cost = $150 per diabetic patient per year (at most)

Gross Savings = $350 per diabetic patient per year

Cost = up to $190

Gross Savings = up to $390

* Cost reflected is an estimate. Interested employers should contact [email protected].

PDF presentation detailing the BTE Business Case and program measures

PDF presentation of BTE Program Overview

Roles and Responsibilities

Bridges to Excellence (BTE) involves the collaborative effort of many groups and individuals. BTE essentially functions as a not-for-profit company with a Board, including structured input from all stakeholders. Below is a description of the overall program organization structure and their roles:

Board - Advisory body comprised of BTE purchaser participants, licensees and stakeholders, that makes decisions on program strategy and direction.

Executive Committee - Acts as the advisory and administrative body with a President, Secretary and Treasurer.

Employer Advisory Board - Advisory body comprised of BTE participating employers that provides broad input into BTE topics and direction.

Administrator Committee - Advisory body comprised of BTE Administrators (licensees and partners) that reviews implementations and operational topics.

Regional Team/Steering Committee - Previous experience has shown that organized regional teams with informal leaders have worked effectively to operate BTE locally; however, regions can establish an operational team structure that best meets their market and customer needs. Overall, the regional team is responsible for regional coordination and market engagement. Led by an identified informal leader, the team includes all participants, stakeholders and allied organizations.


Purchasers participating in the BTE initiative have some key responsibilities

  • Execute participation agreement: agree to participate in the BTE project by signing the BTE Participation Agreement
  • Engage health plans: engage all health plans with which the purchaser contracts and which will be providing physician and patient data for the BTE project
  • Execute data release agreements: work with health plans and Medstat to execute any required data release agreements to permit the health plan to transfer the purchaser's physician and patient data to Medstat
  • Pay rewards and administrative fees: establish banking arrangements with Medstat for the payment of physician rewards, Medstat administrative fees, and other BTE-determined project fees; ensure timely payment of all funds
  • Communicate with employees: distribute communications to employees regarding BTE and participation in programs with disease management tools and rewards
  • Outreach to region: participate in Regional Implementation Team, working to improve region project performance, including participation by physicians, employees, and new purchasers

Health Plans

Health Plans participating in the BTE initiative have the responsibility of executing any of the required contracts and producing data files within the timeframe of the regional implementation. Health Plans can also play a key strategic role in recruiting physicians for Bridges to Excellence participation. For more information about licensing BTE as a health plan, please visit the Health Plan Licensing section of this site.

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