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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. - PowerPoint PPT Presentation
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Approaches to Financing & Aligning Incentives:
Lessons Learned
eHI Capitol Hill Update
May 11 2005
Bridges To Excellence, Inc.Francois de Brantes, Officer and Director
Bridges To Excellence, Proprietary & Confidential Page 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
Bridges To Excellence, Proprietary & Confidential Page 3
Original hypothesis also proven right
$1,250
$1,300
$1,350
$1,400
$1,450
$1,500
$1,550
$1,600
$1,650
Diabetes Costs Only
Non-recognized Physicians Recognized Physicians
$170
$180
$190
$200
$210
$220
All PCP cases
Non-Recognized Recognized
Diabetes Care Link Physician Office Link
Average episode costs of care for recognized and non-recognized physicians
Bridges To Excellence, Proprietary & Confidential Page 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