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Participation Overview

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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: Cincinnati, Louisville, Massachusetts, and Albany/Schenectady, NY
  Physician Office Link Diabetes Care Link Cardiac Care Link
Performance incentive Population-based
up to $50 per patient per year for top performance
$100 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 involves the collaborative effort of many groups and individuals. Key participants to the success of BTE are:

  • BTE Executive Committee
  • BTE Vendors
  • Purchasers
  • Health Plans


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

Employer BTE implementation checklist

In addition to the BTE vendors, BTE operates as a collaborative effort with Regional teams, the BTE Executive Committee, the working group, along with the interested health plans all striving to achieve the goals of the Bridges to Excellence programs.

The Executive Committee of Bridges to Excellence sets program policy and strategy, and approves new programs. The Committee reviews overall performance measures from each of the BTE programs, and evaluates results.

The Regional Implementation team's main objective is to manage/improve the region's performance in recruiting physicians and new employers to join Bridges to Excellence, which drives the overall project results. The team is composed of Purchaser representatives, operational representatives, health plans, physicians and vendors.

The Working Group supports the regional implementation of Bridges to Excellence and makes overall recommendations on the design of each of the BTE the programs.

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.