DESCRIPTION:
Here's an insider look at the emerging $100 million provider
pay for
performance bonus incentive trend. The transcript of the recent
audio
conference on pay for performance programs is now available
in a
convenient, readable format including the complete text of speaker
presentations and conference "handout" material.
Innovative health plans are ready to put an estimated $100
million on the
table to award physicians for improving quality and care and
patient
satisfaction. Among the plans embracing this dramatic, emerging
industry
trend are Blue Cross of California, Health Net, Blue Cross
of Michigan, and
Aetna.
The highly rated management briefing provided details and
insight into how
this new trend will affect MCOs, employers and health plan
members. You'll
get program descriptions, examples, program measures, and
incentive bonus
best practices.
"How Millions of Dollars in Physician bonus Incentives
Linked to Improving
Quality of Care May Be The Answer for Managed Care,"
was broadcast live
June 23, 2004.
This one-of-a-kind discussion of the current trends in pay
for performance
captures the thinking of two leading experts on the subject,
as well as the
work-a-day experiences of administering a p4p program that
creates
incentives for consistent, evidence-based care.
Program presenters are two of the nation's leading authorities
on provider
pay for performance:
· Beau Carter is the Health Policy and Strategy Consultant
for
Med-Vantage, Inc., but also served as the first Executive
Director of the
Integrated Healthcare Association (IHA) at the time Pay for
Performance
(P4P), the largest quality initiative in the nation, was launched.
· Dr. Jeff Kamil, vice president and corporate medical
director for
WellPoint's Blue Cross of California, was also involved with
Mr. Carter in
the initial roll-out of P4P with the IHA.
Mr. Carter provides a review of P4P programs by product type,
by incentive
target, cover the categories for physician incentives; physician
measures
and examples; and categories of hospital measures, examples,
weighting
examples, and go over provider incentive pay-out approaches;
and funding
levels.
Dr.Kamil discusses quality bonus history and the background
of P4P; provide
incentive examples; review the quality score care/best practices
and what
is measured; compare the care categories and quality of care
received;
discuss economic benefits; and, timing considerations.
He also looks at plan-wide results and the HMO bottom line;
review the
distribution of eligible physicians and 2004 payments; then
cover the next
steps and the next generation of incentive programs.
This senior-level program includes:
· Overview of currently available physician incentive
programs
· What's working today
· Characteristics of successful programs
· Details on new quality of care and patient satisfaction
programs
· Sources for assistance in setting up a P4P program
· Where P4P is headed
Discover why many physician organizations and health providers
are
embracing pay for performance.
Learn how a "P4P" program is implemented.
What are the market and design conditions conducive to a
successful P4P?
What are the incentive targets? What are the categories for
physician
incentives and hospital measures?
Clearly this rapidly emerging development has the potential
to raise the
bar for benchmark measure levels.
This 49-page report of the proceedings also includes an enlightening
series
of questions and answers on such topics as how data is provided
to
physicians to allow them to manage care, appropriate measures,
the debate
over physician responsibility for patient outcomes, physician-patient
visits, segregating performance measures, measure rotation
and ROI
recalculation, and the role of IPAs in pay for performance.
Here's what participants in the "live" conference
had to say about the program:
"Learned a great deal, easy way to learn while having
lunch at my desk.
Jenny McGee, VP, HealthShare Technology, Inc.;
"Very complete," VP strategic marketing technology
company;
"Great thought about what may motivate physicians to
take desired action as
well as the magnitude of the payments needed to make a difference,"
Howard
Shaver, Consultant, The Rogoff Firm;
"Combination of: a) survey use/results and b) real world
examples;"
"Having experts & experience 'this is how we did
it';"
"Speakers were on point;"
"Balance of high level concepts with front-line experience;"
"The advice about what might be done differently as well
as the
lessons learned. Also liked the discussion about measures
for both PCPs and
specialists;"
Learn more about this quality initiative with this transcript
of the audio
conference: "How Millions of Dollars in Physician bonus
Incentives Linked
to Improving Quality of Care May Be The Answer for Managed
Care." Learn how
you and your organization could participate in and benefit
from pay for
performance programs.
The incentive program has already shown improvements in quality
of care,
according to Blue Cross Blue Shield of Michigan
This program material is available exclusively from the Managed
Care
Information Center.
You can use this material in connection with planning for
your
organization's entry into managing a pay for performance program.
Copyright 2004, Managed Care Information Center.
