Health Care

Health insurer names Quality Award practices

August 18, 2015
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Priority Health doctor and patient
Grand Rapids-based Priority Health is an insurer that serves nearly 1-million members across Michigan. Photo via fb.com

Physician practices in the region that are skilled in preventive care and chronic disease management are being recognized by an insurer.

Priority Health, a Grand Rapids-based health plan, announced last week its 2015 Quality Award recipients, which recognized approximately 130 network physician and health care practices in Allegan, Kent, Muskegon, and Ottawa counties for their performance in delivering preventive care and chronic disease management to patients.

The program

The Quality Awards honor the top performing physicians and health care practices achieving the highest overall scores in preventive care and chronic disease management quality measures evaluated through the Priority Health Primary Care Provider Incentive Program.

More than 80 physician practices in Kent County alone were recognized for their performance in 2014; while three practices in Allegan, 19 in Muskegon and 25 in Ottawa also picked up awards.

Each health practice was selected after analyzing the results of the incentive program, which benchmarks preventive and chronic management measures against national standards and evidence-based medicine.

Priority Health said the physician practices received nearly $22 million in incentive pay in 2015 as a result of their performance in 2014.

The performance

Priority recognized almost 250 practices statewide, including 130 in the four-county region, for meeting or exceeding the national 90th percentile in clinical quality measures for breast cancer screening, cervical cancer screening, childhood immunizations, asthma control, LDL cholesterol control for diabetes and high blood pressure control.

Michael P. Freed, president and CEO, said Priority Health has partnered with primary care physicians across Michigan to improve the quality, access and affordability of care for members for nearly 20 years.

“It’s proven time and time again that the greatest health care outcomes are achieved when patients, health plans and physicians work together,” said Freed. “We’re proud of the results we are seeing today.”

In 2014, nearly 70 percent of Priority Health group plan members with high blood pressure had their chronic condition under control, which is above the national average of 63 percent, according Priority Health’s website. Priority Health network physicians also provided routine childhood immunizations to nearly 87 percent of patients in 2014, which is above the national average for group health plans at 76 percent.

The impact

Priority Health has partnered with its network physicians and practices to improve health care outcomes, identify and treat potential health problems in a cost-effective manner, and avoid the incidence of chronic disease complications.

The Quality Awards program was established in 2003 with the recognition of only 30 practices providing exceptional care for patients. Priority has awarded more than $198 million to practices in support of primary care over and above the standard payment of services.

Allegan County practices

Allegan Internal Medicine PC

Metro Health Wayland

Neighborhood Family Care PLLC

Kent County practices

ABC Pediatrics PC

AF Associates Family Medicine PC

Alger Pediatrics PC

Area Wide OB/GYN Health Services PC

Brookville Pediatric & Internal Medicine PC

Caledonia Family Medicine

Cascade Pediatrics LLP

Cherry Street Health Services-Belknap Commons Health Center

Cherry Street Health Services-Burton Health Center

Cherry Street Health Services-Heart of the City Health Center

DeVos General Pediatric Clinic

East Paris Internal Medicine Associates PC

Family Medicine Residency Clinic

Family Medicine Specialists PC

Forest Hills Pediatric Associates PC

Grand Rapids Family Physicians PC

Grand Rapids Women’s Health

Grand Valley Medical Specialist PLC

Grandville Pediatrics PC

Helen DeVos Adolescent and Young Adult Medicine Clinic

Internal Medicine and Pediatrics of West Michigan LLC

Internal Medicine of West Michigan

Internal Medicine Residency Clinic

Jupiter Family Medicine PC

Kent Pediatrics PC

Kentwood Family Physicians PC

Lowell Family Medical Center

Mercy Health-Heritage Pediatrics

Mercy Health-Wege Center

Mercy Health Physician Partners-Byron Center

Mercy Health Physician Partners-Caledonia

Mercy Health Physician Partners-Clinica Santa Maria

Mercy Health Physician Partners-Downtown

Mercy Health Physician Partners-Grand Ridge

Mercy Health Physician Partners-Northland

Mercy Health Physician Partners-Northwest

Mercy Health Physician Partners-OB/GYN

Mercy Health Physician Partners-Rivertown Medical Center

Mercy Health Physician Partners-Southeast

Metro Health Alger Heights

Metro Health Cedar Springs

Metro Health Comstock Park

Metro Health Internal Medicine

Metro Health Rockford

Metro Health Southwest-IM

Metro Health Southwest-Peds

Metro Health Southwest-West

Michael G. Marcotte, MD, PC

NE Family Physicians & Therapy Services

Pediatric Associates of Kentwood PC

Pediatric Partners PLC

Philip J. Gaca, DO

Riverwood Family Medicine PC

Spectrum Health-OB/GYN Clinic

Spectrum Health Medical Group-4069 Lake Drive Internal Medicine

Spectrum Health Medical Group-68th Street Internal Medicine

Spectrum Health Medical Group-Alpine

Spectrum Health Medical Group-Beltline Family Medicine

Spectrum Health Medical Group-Beltline IM/Peds

Spectrum Health Medical Group-Blodgett

Spectrum Health Medical Group-Byron Family Medicine

Spectrum Health Medical Group-Gaslight Family Practice

Spectrum Health Medical Group-Grand Rapids IM/Peds

Spectrum Health Medical Group-Grand Rapids Internal Medicine

Spectrum Health Medical Group-Grand Rapids Pediatrics

Spectrum Health Medical Group-Kalamazoo Center

Spectrum Health Medical Group-Kentwood

Spectrum Health Medical Group-Lowell Internal Medicine and Pediatrics

Spectrum Health Medical Group-Rivertown

Spectrum Health Medical Group-Rockford Family Medicine

Spectrum Health Medical Group-Rockford IM/Peds

Spectrum Health Medical Group-Sparta Family Medicine

Spectrum Health Medical Group-West Pavilion Enhanced Primary Care

Spectrum Health Medical Group-West Pavilion Internal Medicine

Spectrum Health Medical Group-West Pavilion Primary Care

Standale Family Physicians

Timothy J. Tobolic, MD

West Michigan Family Health PC

West Michigan Family Medicine

West Michigan OB/GYN PC

Western Michigan Pediatrics PC-GR

White Pine Family Medicine PLLC

Wyoming Family Medicine PC

Muskegon County practices

Adult Medicine Specialists

Apple Family Medicine PLC

Bear Creek Health Center

Harborwood at the Lakes

Harbour Pointe Medical Associates PC

Harbour View Family Medicine

Lakes Family Medicine

Mercy Westshore Internal Medicine

Muskegon Family Care

Norris Creek

Northshore Family Practice

Northside Immediate Care

Norton Family Practice

Patricia Roy, DO, PC

Port City Pediatrics PLC

Ravenna Family Practice PC

Shoreline Pediatrics

West View Family Medicine

Westshore Family Medicine PC

Ottawa County practices

Allendale Family Practice

Holland Family Medicine

Holland Pediatric Associates PLC

Jack R. Roossien Jr., MD, PC

L. Michael Sterenberg, DO, PLLC

Lakeshore Family Care

Lakeshore Health Partners-Internal Medicine

Lakeshore Health Partners-Zeeland Family Medicine

Lakeshore Health Partners IM/Peds

Mark N. Folkening, MD

Mercy Health Physician Partners-Jenison

Metro Health Allendale

Metro Health Hudsonville

Metro Health Jenison

OB/GYN Associates of Holland PC

Spectrum Health Medical Group-Campustowne

Spectrum Health Medical Group-Coopersville

Spectrum Health Medical Group-Georgetown

Spectrum Health Medical Group-Grand Haven Family Medicine

Spectrum Health Medical Group-Grand Haven Internal Medicine

Spectrum Health Medical Group-Holland Family Medicine

Spectrum Health Medical Group-Holland Internal Medicine

Spectrum Health Medical Group-Holland OB/GYN

Spectrum Health Medical Group-Holland Pediatrics

Spectrum Health Medical Group-Zeeland

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