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Approaches to Financing & Aligning Incentives: Lessons Learned

Approaches to Financing & Aligning Incentives: Lessons Learned. eHI Capitol Hill Update May 11 2005. Bridges To Excellence, Inc. Francois de Brantes, Officer and Director. Original design proven right.

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Approaches to Financing & Aligning Incentives: Lessons Learned

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  1. Approaches to Financing & Aligning Incentives:Lessons Learned eHI Capitol Hill Update May 11 2005 Bridges To Excellence, Inc. Francois de Brantes, Officer and Director

  2. Original design proven right • Meaningful incentives – 5% to 10% of physician revenue ~ $10K to $15K per physician…cash is especially important for PCPs • Independent review of performance (i.e. NCQA), and panel-wide sampling • Standard and recognized measures that are attainable • Consumer engagement when holding physicians accountable for outcomes • Predictable costs & benefits, and timely rewards

  3. Original hypothesis also proven right Diabetes Care Link Physician Office Link Average episode costs of care for recognized and non-recognized physicians

  4. Some barriers and findings were unexpected • Small practices need lots of help in reengineering and there are not many resources available • Single disease focus limits program uptake among PCPs • Recognized docs are happy to get more patients, even w/ a chronic condition • You need a pull (bonus) and a push (steerage) to maximize results • Organized groups required smaller per physician bonuses to get engaged

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