Characteristics of a Value-Based Physician Compensation Model
Healthcare Performance Benchmarks
April 9, 2014Vol. IV Issue 14

Characteristics of a Value-Based Physician Compensation Model

Characteristics of a Value-Based Physician Compensation Model This Week's Challenge: While most physician organizations are still being reimbursed or incentivize on a productivity basis, the more advanced physician organizations are moving toward total cost of care reimbursement or incentive models. We wanted to see, according to Optum, what the characteristics are for a value-based physician compensation model.

Click here to view a printable version of the table.

What We Learned: "In regards to some of the characteristics in the market, this is not a ‘one size fits all.’ This table shows some of the best practices that I have experienced in organizations across the country. First you need to risk-adjust your populations. If you are going to start to measure physicians from a population perspective, it has to be risk-adjusted. There are physicians that do more well care, and then there are physicians that have a higher burden who are good at managing a particular disease state. You need to adjust where that baseline is for physicians. That is where analytics will come into perspective."

— Cynthia Kilroy, senior vice president of provider strategy and business development at Optum.

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Read related blog post: Physician Group ACOs Value Specialists, Nurse Practitioners.

Accountable Care Reimbursement Models: Moving from Productivity to Population-Based Incentives

Excerpted from Accountable Care Reimbursement Models: Moving from Productivity to Population-Based Incentives, a 45-minute webinar in which Cynthia Kilroy, senior vice president of provider strategy and business development at Optum, explores the key structure, issues and challenges in evolving reimbursement models.

© 2014 Healthcare Performance Benchmarks by Healthcare Intelligence Network.
Editor: Jackie Lyons, jlyons@hin.com;
Publisher: Melanie Matthews, mmatthews@hin.com

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