Illinois is doling out about $5 million in bonus payments to doctors who
provide quality care to patients on public-aid programs, state health officials
said Wednesday, September 30.
The state tracked the performance of more than 5,000 primary care doctors who
treated public-aid patients last year, rating them on asthma management, child
immunizations, child development screenings, diabetes management and breast
cancer screenings.
Doctors who met national treatment guidelines for any of those measures will
receive $20 for each patient treated under those standards. For example, doctors
who administered at least one blood sugar test to 79.3 percent or more of his or
her diabetic patients—a national average for Medicaid programs—will get $20 for
every patient who got a test.
The state is tracking the doctors’ performance in partnership with Ingenix, a
health information firm owned by UnitedHealth Group.
“Our responsibility, to our beneficiaries and our taxpayers, is to encourage
and promote the highest-quality care at the most effective costs,” said Barry
Maram, director of the Illinois Department of Healthcare and Family Services,
which runs the state Medicaid program and other public-aid programs.
The payments are being made to doctors who treat the 1.6 million patients in
Illinois’ Health Connect, a 3-year-old program that assigns Medicaid patients to
a doctors’ office or clinic in an effort to better manage their care. Nearly 90
percent of the 5,000 doctors whose performance was measured qualified for bonus
payments, a department spokeswoman said.
“The bonus payments help address the biggest issues in caring for chronic
illness by creating incentives for better preventive services,” said Vince
Keenan, executive vice president at the Illinois Academy of Family Physicians.
“It saves on catastrophic costs for the state.”
Filed by Mike Colias of
Crain’s
Chicago Business, a sister publication of Workforce
Management.
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