Bridges to Excellence (BTE) is a family of programs to reward recognized physicians and other practitioners who meet certain performance measures for certain conditions including diabetes care. The BTE programs are administered under the parent company of Health Care Incentives Improvement Institute (HCI3), a nonprofit, national organization. BCBSTX has collaborated with BTE to implement the Diabetes Care Recognition program and the Cardiac Care Recognition program.
BTE is a national program offered in more than 20 states and recognizes thousands of physicians across the United States. Please refer to BTE’s Web site for additional details on all programs offered. BCBSTX has established a program in which BTE-recognized physicians can be financially rewarded for excellent care provided to our members with diabetes.
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The BTE programs are administered under the parent company of Health Care Incentives Improvement Institute, a nonprofit, national organization. BCBSTX has collaborated with BTE to implement the Diabetes Care Recognition program and the Cardiac Care Recognition program.
The program gives physicians tools to continuously improve their practice and receive national recognition and incentives. In addition, patients will know that they are receiving care from BTE-recognized physicians. Being BTE recognized automatically ensures participation in the BCBSTX Recognition Programs and the potential to earn bonus payments. For all of their diabetes or cardiac care patients, BCBSTX will pay a BTE-recognized physician $100 per patient, per program year.
BTE has the potential to significantly improve the quality of care experienced by many patients and reduce the burden of unnecessary hospitalizations and complications. Based on historical results, BTE believes that if physicians participate in programs where they follow proven, evidence-based guidelines and submit data to validate performance, the quality of care they provide to patients with chronic diseases will improve.
To achieve BTE recognition in diabetes care, physicians must meet benchmarks on measures such as:
To achieve BTE recognition in cardiac care, physicians must meet benchmarks on measures such as:
To be eligible to participate, a physician must:
Once a physician becomes BTE recognized, BCBSTX will identify members with diabetes or cardiac disease that the physician manages. BCBSTX will ask the physician to send biometric information about the member. BCBSTX will then advise the physician that he or she is clear to submit a claim with a specific code for reimbursement.
Visit http://www.bcbstx.com/provider/training/bridges_excellence.html for more information.
Details about these options are available at www.bridgestoexcellence.org
Jill Brooks, RNMedical Program Specialist 972-766-6397 Jill_Brooks@bcbstx.com
Rebecca Ford, RHIASenior Manager, Texas Health Information972-766-8234Rebecca_Ford@bcbstx.com
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