; University Medicine Expands Blue Cross & Blue Shield of Rhode Island
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Press Release

University Medicine Expands Blue Cross & Blue Shield of Rhode Island

June 18, 2012

PROVIDENCE – Blue Cross & Blue Shield of Rhode Island (BCBSRI) today announced that it has entered into an agreement with University Medicine (UM) to roll out the patient-centered medical home (PCMH) model to six more of its practices.  With current PCMH practices located in Providence, UM is in the process of transitioning practices located in East Providence, Pawtucket, Providence and Warwick.

“Preliminary data, both locally and nationally, suggests that patients often receive higher quality care when treated in a PCMH,” said Dr. Gus Manocchia, senior vice president and chief medical officer for BCBSRI.  ”UM remains committed to working with us to help improve our members’ overall health, with the ultimate goal of moderating long-term healthcare costs.  As these practices mature in their transformation into a true PCMH, we expect for our goals to be met and for patients to receive numerous benefits from this type of integrated care.”

“Providing the best patient care has always been UM’s most important goal,” said Dr. Francis Basile, divison director of Primary Care at UM.  ”Transitioning our practices to PCMHs allows us to deliver better access and to better coordinate care across the spectrum from primary to specialty to hospital care.  We are grateful to BCBSRI for working with us to provide the resources and infrastructure to begin the process.  Change is hard. It will take time, but it will pay off for our community.”

The following UM practices have recently transitioned, or are beginning their transition, to a PCMH:

Family Practice

  • Warwick Family Practice, 1035 Post Road, Warwick, 02888

General Internal Medicine

  • Barrington Primary Care, 1275 Wampanoag Trail, East Providence, 02915
  • North Main Street Primary Care, 909 North Main Street, Providence, 02904
  • General Internal Medicine (GIM), 111 Plain Street, Providence, 02903
  • Women’s Health Associates, 111 Plain Street, Providence, 02903

Geriatrics

  • Geriatrics Practice, 407 East Avenue, Pawtucket, 02860

BCBSRI provides support to each practice for critical positions such as a nurse case manager and project manager who work with the primary care physician to manage various key elements of patient care. This includes reminding patients about appointments or refilling prescriptions and proactively following up by phone between appointments.  BCBSRI also offers incentives for the use of electronic health records, which have shown to improve the quality of care for patients with complex medical conditions. Practices that use electronic health records are more effective in preventing adverse events and in improving patient care coordination when compared to practices that use paper-based charting.

Over the past three years, BCBSRI has partnered with over 300 primary care physicians to implement PCMHs across Rhode Island, with the goals of improving patients’ health and moderating long-term healthcare costs. These PCMHs deliver care to more than 100,000 BCBSRI members.

University Medicine is a non-profit, academic, multi-specialty medical group with practices in Providence and surrounding communities.  Their mission is to provide high-level patient care, advance medical knowledge and science and develop cures.  UM’s culture promotes constant learning, which transfers across all staff members and to the physicians we train.  To reinforce this, UM allocates 10 percent of its revenue into the academic pursuits of its physicians who have faculty appointments with Brown University’s Alpert Medical School.

About Blue Cross & Blue Shield of Rhode Island
Blue Cross & Blue Shield of Rhode Island is the state’s leading health insurer and covers more than 600,000 members.  The company is an independent licensee of the Blue Cross and Blue Shield Association.  For more information, visit BCBSRI.com and follow us on Twitter @BCBSRI.

The Blue Cross and Blue Shield Association is a national federation of 37 independent, community-based and locally-operated Blue Cross and Blue Shield companies that collectively provide healthcare coverage for nearly 100 million members – one-in-three Americans.  For more information on the Blue Cross and Blue Shield Association and its member companies, please visit bcbs.com. We encourage you to connect with us on Facebook, check out our videos on YouTube, follow us on Twitter and check out The BCBS Blog, for up-to-date information about BCBSA.