1 / 11

MD PRACTICE PATTERN VARIATION Las Vegas

MD PRACTICE PATTERN VARIATION Las Vegas. HEREIU Fund Elizabeth B. Gilbertson Chief of Strategy. Overview: Las Vegas HEREIU Fund 2003. Number of lives: 120,000 Total annual medical spend: $235 million Demographics Low income immigrant population

quon-bell
Download Presentation

MD PRACTICE PATTERN VARIATION Las Vegas

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MD PRACTICE PATTERN VARIATION Las Vegas HEREIU Fund Elizabeth B. Gilbertson Chief of Strategy

  2. Overview: Las Vegas HEREIU Fund2003 • Number of lives: 120,000 • Total annual medical spend: $235 million • Demographics • Low income immigrant population • 43% Latino; 13% Asian; 10% African American • All located in Southern Nevada • 1,800 physicians in network • All doctors in the same specialty paid the samerates 2

  3. MD Network Restructuring Project2003 • Profiled all physicians in the network for efficiency • Utilized software with clinical indicators to profile for quality • Restructured based on • Practice patterns • Geography • Language & culture • Sub-specialty • Terminated 50 doctors 3

  4. Four Episode Treatment GroupsHow the Costs Vary1.Ear Infection – Family Practice $412 SPECIALTY AVERAGE $109 $46 4

  5. Four Episode Treatment GroupsHow the Costs Vary2. Acute Bronchitis – Family Practice $771 SPECIALTY AVERAGE $150 $89 5

  6. Four Episode Treatment GroupsHow the Costs Vary3. Urinary Tract Infection – Internal Medicine $778 SPECIALTY AVERAGE $140 $81 6

  7. Four Episode Treatment GroupsHow the Costs Vary4. Knee Joint Derangement – Orthopedic Surgery $9,383 SPECIALTY AVERAGE $4,473 $2,727 7

  8. Medical CostSavings $67M 8

  9. Sources ofSavings($26 Million) 9

  10. Results:Worker Raises50,000 workers • Average wage: $13/hour • Average raise: 60cents/hour each year for 2 years 10

  11. Results: Medical Cost Control Average medical trend increase: 2003 -2010 6% 11

More Related