Prestige Health Choice Rewards Florida Physicians For Care Provided to Medicaid Beneficiaries
Prestige Health Choice, a Medicaid managed care plan serving 55 of Florida’s 67 counties and a joint venture between AmeriHealth Caritas and Florida Blue, awarded $1,739,000 in bonuses in May and June to top-performing medical practices in Florida through value-based compensation programs established to reward physicians who provided quality care to its 330,000 enrolled members in 2016.
Over 800 medical practices around the state received incentive bonuses from Prestige for meeting or exceeding HEDIS® performance measures established by the National Committee for Quality Assurance (NCQA) — the standards by which health plans’ performance is measured on important dimensions of care and service.
The 2016 End-of-Year Provider Incentive Program (PIP) paid $849,000 to more than 700 medical groups that made special efforts to ensure patients received well-care visits, immunizations and preventive screenings. The PerformPlus® Quality Enhancement Program (QEP) delivered $890,000 in bonuses to 121 medical groups that demonstrated quality and efficiency in the delivery of primary care to Prestige Health Choice members last year.
“Our value-based compensation programs align everyone’s interest with delivering quality care to the hundreds of thousands of members who depend on Prestige to stay healthy.” said Prestige President Dwight Chenette. “The programs have been instrumental in helping us attract and keep top-performing doctors in our network.”
Prestige will soon award quality incentive bonuses to obstetrician/gynecologists who exceed HEDIS guidelines for pre- and post-natal care through an OB/GYN QEP, a value-based incentive program similar to the primary care QEP. It will be joined by other programs slated to launch later this year to provide additional incentives for physicians in the Prestige network to align care with NCQA quality measures.
“Since Florida True Health acquired the Prestige Health Choice plan in 2015, we have made quality care for members our primary focus,” said Dr. William Burnham, Prestige’s chief medical officer. “Our members are among the most at-risk in the communities we serve. The services we provide address the whole person by taking into account factors that contribute to overall health and well-being, such as behavioral health, food security and employment. We are proud to award physicians in our network for their efforts to go above and beyond in caring for our members.”
Prestige team members have forged a close working relationship with the primary care physicians in the network to clearly define quality measures and assist them in helping members achieve optimal health.
About Prestige Health Choice
Prestige Health Choice is a Medicaid managed care plan serving members in 55 of Florida’s 67 counties. Prestige’s strength is founded on its longstanding provider partnerships, particularly with federally qualified health centers and other safety-net providers. A Florida-based company, Prestige is owned and operated by Florida True Health, a joint venture of AmeriHealth Caritas and Florida Blue.
About AmeriHealth Caritas
AmeriHealth Caritas is part of the Independence Health Group in partnership with Blue Cross Blue Shield of Michigan. AmeriHealth Caritas is one of the nation’s leaders in health care solutions for those most in need. Operating in 17 states and the District of Columbia, AmeriHealth Caritas serves more than 5.7 million Medicaid, Medicare and Children’s Health Insurance Program (CHIP) members through its integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience serving low-income and chronically ill populations.
About Florida Blue
Florida Blue is a leader in Florida’s health care industry. Driven by its mission to help people and communities achieve better health, Florida Blue has 5 million health care members, with nearly 18 million people in 12 states, two U.S. territories and the District of Columbia served through its affiliated companies. Headquartered in Jacksonville, Fla., it is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.