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Case Example: Hudson Health Plan: Rewarding Quality Diabetes Management
| Measure |
Reward |
| Blood pressure |
$15 for screening and $35 for BP<130/80 or $20 for <140/90 or $15 for ≥ 10 mmHg decrease in one and goal in the other |
| Smoking cessation counseling |
$15 |
| A1C testing and control |
$15 for screening and $35 for A1C<7 or $20 for A1C<9 or $15 for evidence of drug tx |
| LDL-C testing and control |
$15 for screening and $35 for LDL<100 or $20 for LDL<130 or $15 for evidence of drug tx |
| Documentation of albuminuria; ACE/ARB treatment if positive |
$15 for screening and $35 for negative test, evidence of drug tx, evidence of contraindication, or nephrology consult |
| Retinal exam |
$15 for exam with documentation of result |
| Pheumococcal vaccine |
$10 |
| Flu shot |
$10 |
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