Blue Cross and Blue Shield of Rhode Island (BCBSRI) delegates care management functions and responsibilities to PCMH-recognized practices. Stephanie Gill, BCBSRI Business Planning Analyst, and Kate Reilly, RN, MSN, Quality Concierge Team, have consulted with 177 NCQA-recognized PCMH primary care practices to discuss current care management processes and cost and quality outcomes.
Adult Practices (Cohort 5) and PCMH Kids (Cohort 2) reported out on 4th quarter clinical quality performance and PCMH Kids (Cohort 2) additionally reported out on NCM/CC engagement with at-risk patients/families.
At the January 9 pediatric-focused Integrated Behavioral Health (IBH) meeting, practices enrolled in the RIF Pediatric IBH program reported out on their screening results, progress and challenges. Deborah Masland, Senior Program Director at RI Parent Information
The mission of the Care Transformation Collaborative is to lead the transformation of primary care in Rhode Island in the context of an integrated health care system; and to improve the quality of care, the patient experience of care, the affordability of care, and the health of the populations we serve.