CDPHP report looks at quality of primary care practices

November 13, 2017 05:50 PM

A first for the Capital Region. A report by a health insurer about the quality of service provided by local primary care practices.

CDPHP is the health insurer and it's following similar reports nationwide.

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CDPHP says it has been collecting this information for a number of years and sharing it with the medical practices. Now, they say it's time the public takes a look.

"It's certainly not meant to be a 'gotcha'. It's meant to be, 'Let's have the conversation,'" explained Dr. John Bennett, the president and CEO of CDPHP.

The conversation starter is a new report – "The Capital Region's Top Performing Primary Care Practices by the Capital District Physicians Health Plan."

Forty-one primary care medical practices out of 203 delivering services to CDPHP members are rated as top performers based on quality, efficiency and patient satisfaction.

"How it's going to make your care better is that we're trying to raise the bar," noted Bennett.

He says the quality standards are well-established for health plans and have been applied here.

"Mammography rate, colonoscopy rates, hemoglobin A1c measurements," cited Bennett.

Then, there's the patient satisfaction component.

"Are you open on evenings, weekends and holidays? Are you patients likely to recommend you to family and friends? Can I schedule appointments quickly," pointed out Bennett.

He says the scoring is adjusted for the type of patients seen by a practice, their overall health.

He says CDPHP has been having these conversations with doctors since 2008, when it launched Enhanced Primary Care. EPC changed how doctors are reimbursed. Rather than per patient treated, reimbursement is based on quality of care provided. That allows doctors to spend more time with patients and emphasizes care coordination. Bennett explains and says it was time to share the information with consumers.

"This is not meant to suggest that if your doctor is not on the list that you leave your doctor," he assured.

Rather, it should be a conversation starter to see where improvements can be made.

"We're hoping that all boats will rise. We know they will," he affirmed.

Dr. Bennett says while they started with primary care practices, they hope to expand this to other specialties in the coming years.

Again, this report only covers the 203 primary care practices delivering services to CDPHP patients. He says other local insurers are collecting this information, but have yet to share it with their subscribers.

More information:

CDPHP - Top-Performing Primary Care Practices


Benita Zahn

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