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Payer Updates:

BCBS Rhode Island Rewards High-Quality Care in Hospitals

Published on Thu Jan 13, 2011

Plus, CMS decides to pay for obesity prevention services.If you bill for a hospital in Rhode Island, you may see some additional money coming your way if you meet newly implemented quality standards. Blue Cross Blue Shield (BCBS) of Rhode Island launched a new program with local network hospitals in November called the Hospital Quality Program. According to a press release from the payer, "the program, which uses standard, 'evidence-based' performance metrics, also realigns financial incentives so that hospitals that provide high-quality patient care receive more compensation." The goal, according to BCBS, is to "improve the quality, safety and efficiency of healthcare received by its members."Thus far, 90 percent of the hospitals in the payer's network have agreed to participate in the program for 2011. BCBS hopes to achieve 100 percent participation by the end of next year, the press release states. The program also hopes to help moderate long-term [...]
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