Diabetes is the leading cause of new blindness, kidney disease, and amputation.
Bridges to Excellence
Bridges to Excellence (BTE) is a not-for-profit organization developed by employers, physicians, health care services, researchers, and other industry experts to create significant leaps in the quality of care by recognizing and rewarding health care providers who demonstrate that they have implemented comprehensive solutions in the management of patients and deliver safe, timely, effective, efficient, equitable, and patient-centered care.
New York State lacks a common framework among payers for developing, measuring, or paying incentives for quality outcomes. In response, BTE and the New York State Health Foundation’s Diabetes Policy Center will work together to get the majority of payers in the State to pay incentives that will motivate primary care physicians to improve the care and outcomes for patients with diabetes. To accomplish this, BTE and the Policy Center will assess existing state and regional incentive efforts, promote a minimum core set of diabetes measures for diabetes among payers that are more tightly linked to patient risk reduction, and encourage payers to design incentive programs that will motivate physicians to improve the care and outcomes for patients with diabetes.
PROMETHEUS Payment(TM) is a new model for health care payment that will reward hospitals and physicians who coordinate and provide high-quality care.The model is based on the creation of Evidence-informed Case Rates (ECRs). ECRs cover all the care a patient should get for a specific condition, inpatient and outpatient. As such, it provides an opportunity for any provider who delivers care paid for by an ECR to reap the rewards of better patient management. The Robert Wood Johnson Foundation will provide $6.4 million in grants to further develop and test the system, and the New York State Health Foundation is funding two pilot tests for reimbursement using ECRs for six key chronic conditions in New York State.
