Partnership Plan Members
The state of Connecticut has identified specific doctors, hospitals, and provider groups that meet the highest patient care standards. These doctors and locations have been designated “Providers of Distinction.” It’s easier than ever to get the care you need by visiting a Provider of Distinction for some of the most common medical conditions and procedures.
There’s a location near you. Over 180 providers have already been designated as Providers of Distinction spanning the state. Use the lookup tool to find one near you.
The highest-performing doctors and facilities in the program have been designated Centers of Excellence.
Earn an incentive. By visiting a Provider of Distinction for certain procedures, you will automatically receive a cash incentive. View the complete list of available incentives by procedure. Incentives are higher for Centers of Excellence members.
Care from evaluation through recovery. Providers of Distinction will guide you through each procedure from the initial consult through your complete recovery. Each designated provider has delivered proven high-quality outcomes, meaning you have fewer risks of complications.
Proven quality. Each Provider of Distinction has met strict requirements for quality of care. When you visit a Provider of Distinction, you can feel secure that your provider has low incidents of complications, readmissions and duplicate procedures. To see the various components of quality review, click here.
Care Compass is here to help. If you have any questions about Providers of Distinction, contact Care Compass to speak to a personal Health Navigator. Reach us by phone at (866) 611-8005 or by visiting carecompass.ct.gov/navigator. Receive personalized assistance in confirming your eligibility, finding a nearby provider and even booking your appointment.
By visiting a participating Providers of Distinction provider, you will automatically earn a cash incentive. Below, see the full list of available procedures and the corresponding incentive level. After your procedure has been completed, and has gone through the insurance payment process, you will receive an incentive check in the mail to thank you for using a proven high-quality provider in the Providers of Distinction program.
Providers of Distinction Incentive
Center of Excellence Incentive
|CABG &/OR VALVE PROCEDURES||$750||$1,000|
|ESOPHAGOGASTRODUODENOSCOPY UPPER GI (ENDOSCOPY)||$100||$150|
|GALL BLADDER SURGERY||$250||$500|
|KNEE REPLACEMENT & KNEE REVISION||$500||$1,000|
|LUMBAR SPINE FUSION||$750||$1,000|
|BLENDED DELIVERY (VAGINAL & C-SECTION)||$250||$500|
|PACEMAKER / DEFIBRILLATOR||$750||$1,000|
|PERCUTANEOUS CORONARY INTERVENTION (ANGIOPLASTY)||$600||$1,000|
EVALUATION AND PROGRAM ENROLLMENT: $100
MEETING MINIMUM ENGAGEMENT REQUIREMENTS: $200
By using providers with proven high-quality outcomes, you can avoid costly and dangerous medical complications. Providers of Distinction will provide care through the entire procedural process, from evaluation through recovery. You receive the best quality care AND receive a cash incentive. The state health plan saves on long-term costs by limiting adverse outcomes for common procedures. It’s a true win-win.
If you are a hospital or physician with questions regarding Episodes of Care and the Providers of Distinction please call (770) 218-8221.