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Bill Finck Former Director, Network Initiatives Horizon Blue Cross Blue Shield of New Jersey

The Horizon Hospital Rewards Program: Customizing the Leapfrog Hospital Rewards Program™. Bill Finck Former Director, Network Initiatives Horizon Blue Cross Blue Shield of New Jersey National Pay for Performance Summit March 9 -11, 2009. Presentation Overview.

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Bill Finck Former Director, Network Initiatives Horizon Blue Cross Blue Shield of New Jersey

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  1. The Horizon Hospital Rewards Program:Customizing the Leapfrog Hospital Rewards Program™ Bill Finck Former Director, Network Initiatives Horizon Blue Cross Blue Shield of New Jersey National Pay for Performance Summit March 9 -11, 2009

  2. Presentation Overview • Horizon Hospital Recognition Program Overview • Why Leapfrog Hospital Rewards Program™? • Adapting Program to New Jersey Market • Summary

  3. Horizon Hospital Recognition Program • Two Options for Participation • Leapfrog Hospital Rewards Program • Horizon Program Option

  4. Leapfrog Hospital Rewards Program • National Standards • Quality and Resource Efficiency • Weighting

  5. Leapfrog Hospital Rewards Program • LHRP Program Implementation Challenges • Shared Savings Model • Hospital Acceptance of Leapfrog • HHRP Budget

  6. Leapfrog Hospital Rewards Program • 2006 – 8 Hospitals Selected LHRP Option • Participation Payment • Top 59 Hospitals • Actual Score • Amount Per Disease State

  7. Leapfrog Hospital Rewards Program • 2007 – 13 Hospitals Selected LHRP Option • Top 62 Hospitals • Comparison to Prior Year • Actual Score • Established Minimum Recognition Value

  8. Leapfrog Hospital Rewards Program • 2008 – 18 Hospitals Selected LHRP Option • Actual Score/Tiered Recognition • Used Scores of 2007 Related Measures • Quality/Resource/Safety Scores Considered • Allow Higher of Scoring (LHRP/HPO)

  9. Leapfrog Hospital Rewards Program • Projecting 20 Plus Hospitals Selecting LHRP Option • Utilize LHRP Efficiency Score • Hospitals Compared to National Average • Tiered Recognition Based on Percent of Average

  10. Leapfrog Hospital Rewards Program • Summary • Hospital Advisory Group • Fairness • Evolution to Leapfrog Scoring

  11. ?? Questions ??

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