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.
Practice team members and key stakeholders are encouraged to save the date for the next CTC-RI Annual Conference which will be held on October 8, 2020 at the Crowne Plaza in Warwick.
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
CTC-RI supports the advancement of skills for Community Health Team (CHT) staff and is able to support both in-person and online trainings on various topics. On January 21, CHT staff were able to participate in the "Legal Protections for Persons with Disabilities and their Caregivers" webinar training.
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. Practices are encouraged to review their most recent clinical reports to determine if performance meets performance targets either by Method 1 (meets target) or by Method 2 (improvemen
The mission of CTC-RI is to support the continuing transformation of primary care in Rhode Island as the foundation of an ever-improving integrated, accessible, affordable, and equitable health care system. CTC-RI brings together critical stakeholders to implement, evaluate and spread effective multi-payer models to deliver, pay for and sustain high-quality, comprehensive, accountable primary care.