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Nurse Care Manager/Care Coordinator Best Practice Sharing Committee: Care Management Effectiveness

  • 03 Feb 2020

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.

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Practice Reporting and Transformation Committee Update

  • 29 Jan 2020

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

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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.