Associate Health Plan ER Utilization Project

Audience

Primary Care Physicians

Program Dates

August 1, 2010 to July 31, 2011

Summary

Pay-for-performance program to reduce the utilization of treated and released ER visits by members of the Trinity Health/Mount Carmel (TH/MC) Associate Health Plan.

Goal

Demonstrate individual and group effort in reducing ER utilization rates for a health plan.

The focus of this initiative is also to reduce the number of “medically treated and released” visits to the ER. The Trinity Health/Mount Carmel Associate Health Plan’s "medically treated and released" ER utilization 2009 baseline rate was 288.81 visits per 1,000 patients. The goal is to reduce ER utilization per 1,000 by 5% during the measurement period, compared to the project baseline. If Health Partners achieves this goal overall, each eligible physician who also achieves the goal will be eligible for a financial reward.