Many health care consultancies claim their solutions improve clinical quality and lower costs, but how do we know they are effective? At Altarum, measurement and evaluation have been part of our DNA for decades, which is why we assessed our Bridges to Excellence provider recognition program to evaluate its impact on costs and outcomes.
What we found was notable: providers participating in Bridges to Excellence had lower average total episode costs and lower probability of experiencing a potentially avoidable complication for three costly and prevalent chronic conditions.
To evaluate the impact of our program, we analyzed Colorado claims data representing over 30,000 patient episodes of diabetes, hypertension, and coronary artery disease. We calculated metrics of cost and quality using our proprietary claims analysis tool, PROMETHEUS Analytics.
Providers recognized by Bridges to Excellence for superior care in each of those conditions managed the costs of their patients’ episodes better than their peers by a notable amount:
In addition, fewer patients of providers participating in our program experienced potentially avoidable complications. The probability of experiencing a potentially avoidable complication was 5.2 percent lower among hypertension patients and 4.7 percent lower among diabetes patients.
Bridges to Excellence is a national program by Altarum that improves quality of clinical care and lowers cost through provider measurement and recognition programs for the treatment of nine common chronic and other medical conditions:
Over 40,000 physicians have been recognized through our program and nine health plan or insurers participate, including Blue Cross Blue Shield of Texas and United Healthcare. To learn more about the program, contact Greg Matthews, deputy director of Value in Health Care.