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Regions

*Regional Notes

Reward Amounts: Note: In 2006 NCQA released version 2 of its PPC assessment program.  Physicians in practices that have previously completed and have active recognition under NCQA's PPC version 1 may still be eligible for POL rewards.  Practices that have completed 6 or more modules are now recognized by BTE at Level I, while practices that have completed 9 or more modules are recognized by BTE at Level II.  Please note that to achieve Level III POL recognition, practices must complete PPC version 2.
 

Massachusetts

Massachusetts is one of the original Bridges to Excellence pilot markets and has been active since 2004. Massachusetts practices were early adopters of practice improvement performance programs and participated as beta testers of the eventual NCQA Physician Practice Connections program. Since that time, single physician practices to large integrated systems are participating in BTE and have pioneered practice transformation, significantly improving the care that is delivered. These improvements were motivated and achieved through the BTE collaborative effort and dedicated participation by all stakeholders. What is critical to note is that the improvements impact not just the employees of the participating employers, but all patients that visit the recognized physicians and practices.  Some of the best examples of practice improvements come from the Massachusetts region. In addition, MassPRO, a leading performance improvement organization is also participating in BTE as a performance assessor through the DOQ-IT program, assisting practices by providing the tools to re-engineer.  This is a clear example of how employers, providers, coalitions and quality improvement organizations can work together to improve care at the community level.
  

QUICK MARKET FACTS


Number of Recognized Physicians:
934

Rewards Paid to Date:
$2.4 million since 2004

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

Geographic Scope of Market: 
State of Massachusetts

Number of Covered Lives in Market:
87,000

Participating Employers: AstraZeneca , EMC Corporation , General Electric , Raytheon , Verizon

Licensed Health Plan Administrators: BCBSMA , HarvardPilgrim , Tufts Health Plan , Fallon Community Health Plan

Performance Assessment Organizations and Measures:
National Committee for Quality Assurance (NCQA), MassPRO (POL only)

Reward Amounts:

Recognition POL DCL CCL
Level I
$15*
$80
$80
Level II
$30*
N/A
$160
Level III
$50*
N/A
N/A

Next Rewards Cycle:
January 2008

Regional Contacts:

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