Independence Blue Cross (IBX) recently awarded the 2022 Independence Quality Cup (Quality Cup) to the primary care practices employed by Main Line Health, PentaHealth, and Trinity Mid-Atlantic. The award is based on an IBX program that compares the quality of care provided by the primary care physician provider organizations in the IBX network based on specific care measures.
Practices awarded the Quality Cup were chosen because they demonstrated the highest-level care to IBX members in three different groups – commercial insurance, Medicare Advantage insurance, and both commercial and Medicare Advantage insurance combined. Main Line Health won for commercial patients, PentaHealth won for Medicare Advantage patients, and Trinity Mid-Atlantic won for all patients.
“We created the Quality Cup because we wanted to reward and recognize the hard work the providers in our network do. As the largest health plan in the region, we also saw an opportunity both to create healthy competition and help our provider network learn from each other to continually improve care. And that, of course, is something we’re always happy to see,” said Dr. Rodrigo Cerdá, SVP and Chief Medical Officer at Independence Blue Cross.
There are nine care measures that IBX looks at when ranking Quality Cup winners. These care measures include breast cancer screening, cervical cancer screening, colorectal cancer screening, controlling high blood pressure, diabetic eye exam, diabetic HbA1c control, statin therapy composite, kidney health evaluation, and overall. Each care measure is measured by best performance on standardized, evidence-based research within Quality Performance Measure (QPM), Healthcare Effectiveness Data and Information Set (HEDIS®), or Medicare’s Five Star Quality Rating Program (Stars).
Practices in the IBX network who fit the following criteria are automatically enrolled in the Quality Cup and don’t have to take any extra steps:
- Have a central administration that governs and provides support services and direction to multiple primary care offices. Offices may be hospital-owned, independently owned, or part of a clinically integrated network.
- Are classified as either family practice, internal medicine, geriatrics, or general medicine.
- Have individual offices that qualify and opt into IBX’s Quality Incentive Payment System (QIPS) program and satisfy all QIPS program prerequisites.
- Serve a population of at least 2,500 members.