Physicians who demonstrate that they have created a medical home for patients resulting in proven positive outcomes for their patients could be eligible for annual rewards of $125 per patient under a new program developed by the Bridges to Excellence coalition.
The program builds upon the groups existing Physician Office Link program and the National Committee for Quality Assurances Physician Practice Connections program. The medical home concept involves patients having a personal physician who receives compensation for leading an integrated team of healthcare professionals providing coordinated acute, chronic, preventive and end-of-life care facilitated by information systems.
Bridges to Excellence Chief Executive Officer Francois de Brantes promised that this would not be like other physician-reward programs where the juice isnt worth the squeeze, adding that nobody is going to invest 5,000 bucks to make $50. To accomplish the practice re-engineering required for the program takes about 18 months with some $25,000 to $30,000 in upfront costs, de Brantes said. The program would award doctors a $125 per patient bonusprovided the patient is covered by a participating employerwith a suggested maximum annual incentive of $100,000.
The bonus is based on studies that found that providing the type of care coordination that a medical home offers could result in savings of $250 to $300 per patient a year, he said. Under the Bridges to Excellence Medical Home program, that savings would be split between the patients physician and health plan. (For more on the medical home concept, see Modern Healthcare's Nov. 12 cover story "Of primary importance".) -- by Andis Robeznieks
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