|Aetna first plan to receive national endorsement; CDPHP earns regional designation
WASHINGTON – December 8, 2008 – Bridges to Excellence (BTE), the nation’s largest effort to recognize physicians for delivering high-quality care, announced the latest health plans to achieve BTE Incentive and Reward Program Endorsement. Aetna is the first national plan to reach this designation for meeting performance and recognition standards and principles for Aetna’s Performance Network featuring Aexcel®-designated specialists, which is currently available in 35 markets. CDPHP also achieved endorsement by integrating all of BTE’s programs into their physician performance program. CDPHP is the first regional plan in Upstate New York to achieve this distinction.
BTE launched the BTE Incentive and Reward Program Endorsement and BTE Recognition programs in 2007 as a way to help employers, physicians and consumers better understand how a health plan is implementing Bridges to Excellence. The BTE Incentive and Reward Program Endorsement is intended for plans developing their own network-wide incentive and reward initiative. The designations are achieved after a rigorous review of the health plan’s program and its adherence to a set of core principles that are foundational to BTE’s mission. The designations are good for one year.
“By recognizing physicians that have demonstrated they are delivering better outcomes, Aetna is leading the way in implementing the core value-based purchasing principles,” said Andrew Webber, president and CEO of the National Business Coalition on Health and BTE board member. “We commend both Aetna and CDPHP for having programs endorsed by BTE.”
Aetna is the first plan to receive distinction in both BTE programs. Aetna previously achieved BTE Recognition in 2008 in acknowledgement for their efforts to implement BTE on behalf of employers and coalitions in eight states and the District of Columbia. Health plans that have received the BTE Recognition have demonstrated a very strong commitment to implementing the BTE programs as an administratively simple and efficient solution for employers.
“Quality care is cost-effective care,” said Lonny Reisman, M.D., Aetna’s chief medical officer. “Aetna is committed to recognizing physicians who deliver quality care and providing information to members to help them make informed decisions. We are very pleased that our efforts have been recognized by Bridges to Excellence."
CDPHP, a plan which services 29 counties throughout New York State and seven counties in Vermont, was on the original steering committee for the BTE Upstate New York pilot which started in 2003 and has been implementing BTE programs for five years.
To apply for these programs, health plans must already be licensed by BTE, and actively implementing the programs in one or more sites. More than 15 health plans representing over 150 million insured Americans nationally have licensed BTE and are incorporating the BTE principles into their own pay-for-performance programs, allowing purchasers to participate in a boundaryless fashion.
BTE continues to partner closely with its licensees to work toward achieving designation and ensure that employers, coalitions and physicians are aware of designated plans. Efforts are also in progress to work with industry groups to streamline the designation process for plans to avoid duplicative reporting efforts.
About Bridges to Excellence
Bridges to Excellence (BTE) is a non-profit coalition-based organization created to encourage significant leaps in the quality of care by recognizing and rewarding health care providers who demonstrate that they deliver safe, timely, effective, and patient-centered care. BTE works with large employers, health plans, providers and a wide range of organizations that have a shared goal of improving quality and patient outcomes. For more information, visit www.bridgestoexcellence.org.
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