Pay-for-performance (P4P) represents a radical departure from traditional payment methods. P4P has been gaining traction, largely because the Centers for Medicare and Medicaid Services (CMS) has told hospitals and physicians that future increases in payment will be linked to improvements in clinical performance.
P4P programs are still evolving. Commercial health plans are also responding to employers’ demands for quality improvement by developing “scorecards” that use quality metrics to grade care provided by hospitals and physicians. By tying providers’ scores to financial payments, non-financial rewards, and public reporting, both private and public payers intend to incent improvements in quality of care and outcomes.
But are P4P financial incentives changing physician behavior and outcomes? Are P4P initiatives sufficient to overcome fundamental flaws in the existing payment system? And how can health plans enhance the impact of their P4P program?
Join The Managed Care Information Center and PricewaterhouseCoopers’ Health Research Institute for a live presentation of the report, “Keeping Score: A Comparison of Pay-for-Performance Programs Among Commercial Insurers,” that took place in March 2008.
Learn how pay-for-performance programs are varied among commercial health insurers across the United States and hear insight from in-depth interviews with top executives from 10 of the nation’s largest commercial payers, collectively providing health insurance for approximately 39 million individuals. Discover steps that health plans can begin to take to improve their P4P programs.
Agenda
- PwC Health Research Institute’s study methodology
- Key findings of health plan study
- The stages of P4P evolution among commercial payers
- Key P4P payer program attributes
- Can P4P payment incentives change provider behavior?
- Recommendations how health plans can improve their current P4P programs
- Question and Answer Session
Health plans and providers, CEOs, CFOs, PHO and IPA and medical staff leadership, employers, human resource benefit managers, medical directors, employer health plan decision makers, network development and provider services directors, strategic planners, utilization management, MCO plans, healthcare management, TPAs, network managers, physician practice management company executives, medical management directors, analysts, implementer consultants, account services and administration executives and ancillary products managers.
©2008 The Managed Care Information Center