CommercialAdministrativeMedium impact
Get Rewarded for Improved Transitions of Care
EmblemHealth·Provider News
We identified it
Jun 20, 2026
Summary
EmblemHealth and ConnectiCare have added a Transitions of Care HEDIS measure to their Quality Incentive Program (QIP) that rewards providers for improving patient care coordination after hospital discharge. Providers can earn financial incentives by ensuring follow-up visits within 30 days and reconciling discharge medications within 30 days of hospital discharge.
Action Required
Immediately: Clinical and billing teams should review the QIP program details at the EmblemHealth and ConnectiCare Quality Improvement websites to understand specific measure requirements and coding information. Implement workflow changes to ensure follow-up visits are scheduled within 30 days of hospital discharge and medication reconciliation is documented in patient records within 30 days. Ensure proper coding and documentation to receive QIP incentive payments.