Missouri Blues' bonus system working well for capitated physician groups.
To give physicians in their capitated medical groups an incentive to provide high-quality care, the Missouri Blues began a pilot program in the mid-1990s to reward doctors who met various quality benchmarks. Under the plan, doctors could earn an additional 4% of their capitated income if they made targets in the areas of childhood immunizations, retinal exams for patients with diabetes, and hospital admissions for both child and adult asthmatics. The incentives have been a smash success--here are the details.
D019985:Benchmarking; D054598:Blue Cross Blue Shield Insurance Plans / Q000191:economics / Q000458:organization & administration*; D002204:Capitation Fee; D003362:Cost-Benefit Analysis; D017598:Efficiency, Organizational; D006125:Group Practice, Prepaid / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D008923:Missouri; D017060:Patient Satisfaction; D010816:Physician Incentive Plans; D010865:Pilot Projects; D011787:Quality of Health Care / Q000191:economics*