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Pay-for-Performance:
Incentives, Models, Measures and Perspectives
In just a few years, what was
tested as a concept is now roaring as an emerging billion
dollar trend.
As quality concerns escalate and healthcare costs skyrocket, more
hospital and physician pay for performance (P4P) incentive
reimbursement programs are being implemented by health plans around the
country as a way to reward healthcare efficiency and effectiveness.
Already millions of dollars in
physician compensation have been paid to participating physician groups
as incentive bonuses. And, just this year alone, numerous health plans
have launched their own version of P4P programs.
“Pay-for-Performance:
Incentives, Models, Measures and Perspectives”
has been
produced by the Managed Care Information Center editorial team to give
you a comprehensive understanding of this developing hospital and
physician reimbursement trend that may change how providers are
measured and paid and improve the quality of care and patient
satisfaction.
This 79-page special report
contains insider information developed by our team in connection with
reporting on the subject for The Executive
Report on Managed Care and
from briefings by early adopter experts, executives, and physician
leaders.
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Hear about the organizations
that have 'pioneered' exploration of pay-for-performance programs
including the Integrated Healthcare Association (IHA), and such
participating health plans as Aetna,
Blue Cross, Blue Shield, CIGNA, Health Net, and PacifiCare.
Pay-for-performance is not a new
idea in business, even for suppliers of nuts and bolts. That's why such
major companies as Ford Motor, General Electric (GE), Proctor &
Gamble, Verizon and United Parcel are among the pioneers in the P4P
program organized under the Bridges to Excellence program.
Other organizations that are becoming the equivalent of
"household" names in the health industry include the Integrated
Healthcare Association and The Leapfrog Group.
“Pay-for-Performance:
Incentives, Models, Measures and Perspectives” gives
you
program descriptions, examples, program measures, and physician
incentive bonus best practices. And, the report acknowledges that there
are mixed opinions on whether the P4P programs will work for managed
care plans.
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Does P4P sustain behavior
change? Is it possible to put 'teeth' into physician incentives? Does
P4P put the entire burden on already overburdened practicing primary
care physicians? Can we define and adequately measure performance
criteria? Can physician practice performance really be adequately
measured? Are there possible conflicts of interest in
implementing this type of physician compensation program?
P4P focuses on quality issues as
well as patient satisfaction. But the quality in care is uppermost and
zero in on the deadly "quality gaps" that contribute to 42,000 to
79,000 avoidable deaths every year, based on National Committee For
Quality Assurance figures.
“Pay-for-Performance:
Incentives, Models, Measures and Perspectives”
gives you
details and reported program results thus far. Get information and
insight from those involved in setting up and administering these
physician incentive programs.
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Discover how early adopters
achieved physician "buy in," the importance of leverage, how to choose
your measures wisely and choose measures that are defensible, and why
provider feedback is so important.
Learn what's important to
employers, what health plans want out of P4P and what health plans
should be looking at.
Discover how the "payout" works
and how to tailor a program to maximize what providers care about.
Get details about the Blue Cross
of California P4P system, the Integrated Healthcare Association
program, Health Net of California, and the Health Spring physician
incentive program.
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Most industry experts believe
P4P programs will continue to grow and be embraced by payors. For
instance, Blue Cross and Blue Shield Plans are offering physician pay
for performance programs in 32 states and expect to implement programs
in 14 additional states in the near future; Aetna,
Cigna and HealthAmerica and HealthAssurance have also begun P4P; and,
Medicare launched a $1 billion program to reward providers for the
quality of care they deliver.
“Pay-for-Performance:
Incentives, Models, Measures and Perspectives” also
includes
a series of reports on studies and documents, both pro and con, from
leading health organizations and stakeholders including the
National Business Coalition on Health, the American Medical
Association, AARP, the American College of Physicians,
and, The Alliance of Specialty Medicine.
Don’t miss the
opportunity to fully understand the physician pay for performance
movement and how it could affect your organization.
Order your copy of “Pay-for-Performance:
Incentives, Models, Measures and Perspectives” today!
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Want
even more P4P Information?
Subscribe to our new monthly
newsletter, Pay-For-Performance
Reporter. Every month you'll get the latest news
and information on physician incentives and key developments.
For more
information, click
here.
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