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View all May 2013 news releases in the Children's Hospital and Health System News Section.

 

  CHILDREN'S COMMUNITY HEALTH PLAN TO PAY $500,000 ACCESS BONUS TO PROVIDERS
 

MILWAUKEE (5/12/2009) - Children's Community Health Plan, a three-year-old Medicaid-only Health Maintenance Organization, will distribute a total of $500,000 in bonus payments to physicians and providers in recognition of their commitment to improving access to health care for its members. Children's Community Health Plan (www.childrenschp.com) covers more than 26,000 children and adults eligible for BadgerCare Plus in the Wisconsin counties of Milwaukee, Waukesha, Racine, Kenosha, Ozaukee, Washington and Walworth. It is announcing that the $500,000 bonus will be distributed among all primary care physicians, Ob/Gyns, office-based specialists, dentists and providers of behavioral health, physical and speech therapy, home health and durable medical equipment that were paid in 2008 for providing health care services to Children's Community Health Plan members.

"Our health system started this health plan a little more than three years ago with the goal of providing increased access to quality health care for individuals covered by Medicaid, and improving the reimbursement for providers taking care of these individuals ," said Peggy Troy, president and CEO of Children's Hospital and Health System. "Finding access to quality health care is so difficult for many of the families covered by BadgerCare Plus. This is a way we can say thank you to the providers that are stepping forward and doing the right thing for our community."

Individuals covered by BadgerCare Plus do not typically have access to the same breadth of providers as do individuals with commercial, employer-sponsored insurance.

With the combined resources of Children's Hospital of Wisconsin, Children's Service Society of Wisconsin, Children's Medical Group and many community partners, the health plan is committed to improving the medical and social well-being of its our members and the community at large. Children's Community Health Plan is affiliated with Children's Hospital and Health System, and has contracts with all of the major health care systems and physician associations in southeastern Wisconsin

"We also are committed to rewarding quality and improved outcomes, and will be paying bonuses later this year to individual physicians in the areas of lead testing, diabetes management and asthma management," said Tom Gazzana, president of Children's Community Health Plan .

The bonus amount for each provider is based on either the number of visits they had with Children's Community Health Plan members, or the total dollars paid for these visits, depending on the provider's specialty. The bonus checks will be distributed to all provider groups in the coming weeks.