In an atmosphere of shrinking reimbursements, one way to invigorate physician
practice revenues is by participation in pay for performance (PFP) programs
sponsored by CMS, Bridges to Excellence and others. Following their leads,
many health plans, payors and purchasers are proposing PFP to providers to
raise the bar on healthcare quality, accountability, access and outcomes and
reduce unnecessary healthcare costs.

In Engaging Physicians in Pay for Performance: Promoting Partnerships
That Align Data, Dollars, Care & Quality
, you'll learn how participation
in CMS' three-year physician group practice Medicare demo provided the
framework for Alegent Health to realign disparate methodologies, tools and
resources in use by its 1,200 physicians at nine hospitals. By building a
PFP initiative based on awareness, education and intervention, Alegent
Health makes medical staff more accountable for clinical outcomes and

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This report also documents the evolution of HealthSpring's successful PFP
partnership from a single 13-physician effort to a 12-group collaborative
of 150 doctors caring for 9,000 Medicare members. Together, HealthSpring
and its physicians chose performance indicators in the common domain and
ultimately improved compliance in key clinical measures such as those
for diabetes and reduced avoidable ER visits.

Presenting PFP case studies from their own organizations are Dr. Fred Hosler,
senior vice president and chief medical officer at Alegent Health, and Mike
, vice president of strategy with HealthSpring. Supplementing these
success stories are physician engagement tactics from Lorraine K. Larrance,
consulting senior manager with Pershing Yoakley & Associates, P.C., who
identifies key barriers to physician participation and proposes strategies to
overcome them.

This report provides details on:

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Warm Regards,

Melanie Matthews
Executive Vice President
The Healthcare Intelligence Network
1913 Atlantic Avenue
Suite 201
Manasquan, NJ 08736