Insured Colleagues ProgramTM

Through the Insured Colleagues Program™, BPIS provides the structure for successful clinical risk reduction programs for our insureds. 

  

The Insured Colleagues Program consists of the Chief Medical Officer, Specialty Medical Directors (SMD’s) in each specialty and a five member Medical Advisory Panel, also specific to each specialty. These clinical experts are actively involved in the risk evaluation and selection process of new and renewal business. BPIS identifies a highly qualified and respected physician for the position of Specialty Medical Director. This physician will assist in developing specialty specific criteria to be used in addition to the standard criteria. Responsibilities include:

 

  • Evaluating the member physicians in their respective specialty;
  • Chairing their respective Medical Advisory Panel;
  • Implementing process improvement initiatives.

 

The five member Medical Advisory Panel under the direction of the SMD conducts peer review and assesses Liability Score factors on an ongoing basis.

The responsibilities of the Medical Advisory Panel include: 

  • Analysis of specialty specific claims experience both internally and externally;
  • Analysis of present physician risk behavior through individual physician impact reports;
  • Review of current, national specialty specific risk reduction strategies;
  • Provide targeted risk reduction process improvement recommendations;
  • Review claims against physicians for merit and potential liability.

  

Further, there is a Medical Executive Committee, which is comprised of the Chief Medical Officer and the Specialty Medical Directors.  This committee is responsible for all multi-specialty process improvement initiatives.

 

In addition to providing underwriting and clinical risk management support, the Insured Colleagues Program™ is intimately involved in all claims management activities and serves as an internal peer review mechanism for claims.


Insured Colleagues Program Organizational Chart >>


BPIS provides proprietary risk management and clinical quality improvement methodologies


Chief Medical Officer

Medical Executive Committee
Specialty Medical Director
Advisory Panel
Advisory Panel
Members

Members

Members

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Organizational Chart

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