This mission is accomplished by paying bonuses to physicians
that meet standardized expert-based performance measures.
Each measurement set was either developed or co-developed
by the National Committee for Quality Assurance (NCQA)
and panels of experts. BTE also includes an optional
patient component that provides support tools and an
incentive model for patients in order to align patient
behavior changes with physician standards of care.
BTE is continuing to expand to include new purchasers
and new markets. New purchasers who are interested in
participating in Bridges to Excellence can either join
current purchasers who already are participating in
BTE in an existing market, or identify other purchasers
in a new market area who also are interested in participating
in Bridges to Excellence.
Joining an Existing Market
Currently, Bridges to Excellence is active in four
geographic market areas, with the following BTE programs
and participating employers:
Cincinnati |
DCL |
- Cincinnati Children's Hospital Medical Center
- City of Cincinnati
- Ford Motor Company
- General Electric
- Humana Inc.
- Procter & Gamble
- UPS
|
Louisville |
DCL |
- Ford Motor Company
- General Electric
- Humana, Inc.
- UPS
|
Massachusetts |
DCL,
POL |
- AstraZeneca
- General Electric
- Raytheon
- Verizon Communications
|
Albany/Schenectady,
NY |
DCL,
POL, CCL |
- General Electric
- Hannaford Bros., Inc.
- Price Chopper
- Verizon Communications
|
If you are a purchaser interested in participating
in BTE in one of these market areas, please contact
Bridges to Excellence at 1-(800) 224-7161, or [email protected].
Launching in a New Market
The goal of Bridges to Excellence is to influence physicians
and medical practices to change their behavior regarding
the care of patients. To achieve this change, the incentives
or rewards available to physicians must be of sufficient
size. The amount of physician rewards is tied to the
number of participating purchasers' covered lives who
are seen by physicians-the higher the number of purchasers'
covered lives in a geographic area, the higher the potential
reward available to the physicians who treat these purchasers'
members. As a result, the combined number of covered
lives of purchasers' in a market area must represent
a sufficient segment of the local population to ensure
the BTE reward program is effective.
In general, BTE participating purchasers' combined
count of covered lives in a specific geographic market
area should be:
- at least 50,000 and/or
- 8-10% of the local population.
If you are a purchaser who is interested in launching
BTE in a new market area, determine your organization's
number of covered lives (covered employees, dependents,
and retirees) in the specific geographic area. If your
organization alone has a sufficient number of covered
lives to impact physicians in the market, you may be
able to participate in BTE as an individual purchaser.
More commonly, if your organization alone does not have
enough covered lives to ensure significant physician
impact in a market area, then you can participate in
BTE by identifying other local purchasers who are interested
in BTE, such that a significant number of covered lives
is represented when combined across all interested purchasers.
When you have identified a sufficiently large number
of covered lives in a new geographic market area, either
as a single purchaser or combined with other interested
purchasers, please contact Bridges to Excellence at
1-(800) 224-7161, or [email protected].
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