Medica, a health insurance company headquartered in Minneapolis, has paid more than $3 million in the past year to providers in its network for improvements in clinical care.
The pay-for-performance program is designed to assess the efficiency and quality related to certain areas of clinical care. Its 2007 P4P program focused on asthma, Chlamydia screening, diabetes, generic drug prescribing, well-child examinations, childhood immunizations, mammography and Pap test.
North Clinic, in Robbinsdale, Minn., was one of five clinic systems throughout Minnesota to participate in Medica’s clinic-based chronic care management program in 2007.
“As providers on the front lines of care, we believe we are in the best position to help patients with these diseases make improvements to their health,” said Cynthia Weisz, the medical director at North Clinic. “The program also supports the concept of a medical home, which North Clinic believes is very important to ongoing care of its patients.”
North Clinic developed a program around heart failure patients, identifying them through system-wide referrals from primary care providers and post-hospitalization diagnoses. The clinic developed a registry to monitor clinical status and track process and outcome measures.