Amerigroup Georgia Launches Obstetric Incentive Program to Improve Quality Health Outcomes for Pregnant Members

More than a dozen Georgia obstetric providers are already
participating in the program

ATLANTA–(BUSINESS WIRE)–#Amerigroup–Amerigroup Community Care in Georgia has launched its Obstetric Quality
Incentive Program (OBQIP), which offers incentives to obstetricians who
provide quality care and services to pregnant Amerigroup Georgia
Medicaid members. There are already 13 obstetric providers across
Georgia who are participating in the program. These health care
providers earn incentive payments by meeting and exceeding specified
performance indicators that measure the quality of their services to
Amerigroup members during and after their pregnancies.

“As we enter the era of evidenced-based medicine, Amerigroup is
committed to supporting physicians who provide measurable, quality care
to maternity patients,” said Dr. John Lue, Board Certified OB/GYN
medical director at Amerigroup Georgia. “We understand the unique
challenges providers experience when caring for maternity patients, and
we are proud to support their efforts to provide effective, efficient
care that increases positive birth experiences and health outcomes for
our members.”

Amerigroup’s OBQIP program uses a system of quality care and health
outcome measures to assess physician performance and calculate incentive
payments. Doctors are tasked with improving quality scores and health
outcomes by increasing their use of efficient and appropriate services
as well as increasing access to prenatal and postpartum care and
education. Their incentive payments are based on six performance
measures:

  • Timeliness of the first prenatal care visit
  • Overall C-section rate
  • Preterm birth rates
  • Low birth weight rates
  • Postpartum visit rates
  • Assessment of patient tobacco use and intervention rates

Each performance measure is assigned a maximum value of 100 points, and
each measure is assigned a target rate. Physicians earn performance pay
by reaching their target rates. Physicians who exceed targets earn
additional incentives. Determinations for incentive payments are made
six months after the end of the performance measure period.

“We are pleased for the opportunity to collaborate with dedicated
clinicians who share our mission to improve health outcomes across
Georgia,” said Dr. William Alexander medical director at Amerigroup
Georgia. “Together, we are succeeding in improving health and lives
across our state by providing access to high quality health care
services.”

ABOUT AMERIGROUP COMMUNITY CARE OF GEORGIA

Amerigroup Community Care of Georgia helps improve health care access
and quality for more than 375,000 low-income Georgians by developing
innovative care management programs and services. Members are assured
care that is not only accessible, but also accountable, comprehensive,
integrated and patient-centered. Amerigroup Georgia provides ongoing
community relations and outreach to encourage members to become active
participants in their health care. Through health education programs,
members are empowered to choose and sustain a healthy lifestyle. For
more information about Amerigroup Community Care of Georgia, visit www.myamerigroup.com/ga.

Contacts

Denise Malecki
Amerigroup Public Relations Director

Phone:
813-830-6986
Email: denise.malecki@amerigroup.com