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News for Priority Health Provider Network
August/September 2010

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PIP measure targets

We’ve set new benchmarks for three measures:
  • Diabetes care controlled HbA1c less than 7.0%
  • Diabetes care controlled HbA1c less than 8.0%
  • Asthma medication management
Benchmarks are based on 2009 plan performance. The benchmarks are defined as a Priority Health Standard of Excellence.

 HMO/POS, ASO/PPO, MedicareMedicaid
  HbA1c<7 HbA1c<8 Asthma HbA1c<7 HbA1c<8 Asthma
2010 Benchmarks 62% 80% 79% 61% 75% 59%

For PIP 2011, we anticipate using the HEDIS 90th percentile results for both controlled HbA1c measures. We expect the spring 2010 HEDIS audit will yield national performance benchmarks.

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