With more attention than ever focused on health insurance premiums and the quality of care provided to enrollees, more managed care plans are developing pay-for-performance programs.
The key to success for these initiatives is achieving buy-in from participating physicians and medical groups, and Case Studies in Health Plan Pay-for-Performance Programs is designed to help you profit from the lessons learned by many of the leaders in the field.
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Case Studies in Health Plan Pay-for-Performance Programs contains valuable insights you'll need to establish — or modify — your own P4P program. An introduction by MedVantage consultants Geof Baker and Beau Carter includes an exhaustive table of the 78 currently operating full-scale health plan P4P programs in the U.S., with the details on which products the programs apply to, whether there are incentives for primary care physicians, specialists and facilities; and other unique features of the programs.
The book then features seven case studies on the P4P programs of leading health plans — HealthPartners, Horizon Blue Cross Blue Shield of New Jersey, Independent Health, Blue Cross & Blue Shield of Michigan, Priority Health, Blue Cross of California, and Anthem Blue Cross and Blue Shield Plans in Ohio, Kentucky and Indiana…with the details on:
Also included is a special chapter by Sharon Bee Cheng of MedPAC, with ideas on how to implement pay-for-performance in the Medicare program.
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