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Acting as the equivalent to PQRI of the private sector, BTE offers incentive programs for quality improvement through private sector payers. The CINA Quality Suite’s unique ability to focus Providers’ attention to the gaps in care at the point of care achieves rapid improvements in guideline compliance. CINA is a BTE certified data aggregator. Assessment of guideline compliance is performed by independent, third party organizations.

 

Many of the national and regional plans have accepted BTE’s programs and physicians contracting with Aetna, Anthem- Wellpoint, Cigna, United HealthCare and many others know that they will receive some credit and incentives from these plans if they meet BTE’s quality criteria and become recognized.

 

For individual measures, the results were even more dramatic. From a financial standpoint, MCNT was able to increase average revenue per visit by over $6.00 (just by doing what was supposed to be done in a timely manner), earn the full Medicare PQRI bonus for the majority of their Providers, and secure a very favorable custom P4P bonus from one of their largest
payers. However, more importantly, MCNT has re-defined itself as a quality-first organization, with all of their providers focused on quality improvement.”