Excellence in Primary Care

One of the ways we can ensure that members maintain and improve their health is through initiatives that enhance the quality of care our network providers deliver. Our Primary Care Physician Quality Incentive Program started in 2000, and the results showing continuous improvement have been impressive.

In this program, adult and pediatric physicians have been honored for improved scores placing them in the top 10 percent of all physicians who participate in the quality program. View the honorees by selecting a link:
636 physicians honored in 2007.
617 physicians honored in 2006.

Our Primary Care Physician Incentive Program was designed with quality of care and managing costs in mind. The program aims to increase the number of members who receive important preventive and disease management services from the providers participating in our network.

Service measures for adult care providers include:

• Generic medication utilization
• Mammography services
• Diabetic care
• Utilizing electronic capabilities
  • Prescribing systems
  • Electronic medical records
  • Medical decision support

Service measures for pediatric providers include:

• Generic medication utilization
• Well-visits for children and adolescents
• Utilizing electronic capabilities
  • Prescribing systems
  • Electronic medical records
  • Medical decision support