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You are here > Home > Reading Lists > Finance & Accounting > Health Plan Pay-for-Performance Programs: The Next Generation

Health Plan Pay-for-Performance Programs: The Next Generation

Softbound 
1933801360
978-1933801360
AIS Health / Atlantic Information
(Click button below for the very best available price for this resource)

 

 

In the years since the first insurers implemented pay-for-performance (P4P) programs to improve the quality and efficiency of care provided to patients, the field had evolved rapidly.

 

Health Plan Pay-for-Performance Programs: The Next Generation explores the dramatic change in the scope and depth of these programs during the past several years.

Through a summary of trends in P4P programs, as well as concise case studies from three well-respected health insurers Blue Cross Blue Shield of Michigan, HealthPartners, Inc. and Independent Health this book contains valuable insights you'll need to establish, or modify, your own P4P program.

 

In chapters authored by the plans themselves, Health Plan Pay-for-Performance Programs looks at such trends as P4P programs with specialist physicians and PPOs, P4P programs with hospitals and programs geared toward specific diseases.

The book also includes an extensive table prepared by MedVantage, Inc., based on its exclusive survey, on who has what kinds of P4P programs with details on the programs enrollment and the types of providers targeted. Sections of this resource cover these topics:

  • Six Trends in Health Insurers Adoption of Pay-for-Performance Programs

  • National Pay-for-Performance (P4P) Study Results With Projections - Prepared by MedVantage, Inc.

  • Using Quality and Cost Measures to Drive Performance: HealthPartners Model - By Babette Apland, M.S., M.B.A., Senior Vice President, Health and Care Management, HealthPartners, Inc.

    • Comprehensive Measurement

    • Awards and Recognition

    • Provider Engagement

    • Consumer Engagement

    • Evaluation and Results

  • Second-Generation Pay-for-Performance: Comprehensive Chronic-Disease Profiling - By Thomas Foels, M.D., M.M.M., Medical Director, Independent Health

    • Methodology

    • Results

    • Discussion

  • Evolution of the Blue Cross Blue Shield of Michigan Hospital Pay-for-Performance Program - By Ellen Ward, Project Manager, Provider Contracting and Policy, Blue Cross Blue Shield of Michigan

    • Background

    • New BCBSM Hospital Pay-for-Performance Program

    • Effectiveness of the Program

    • Future Enhancements

    • Pay-for-Performance Challenges

  • Conclusion

Contributors IncludeMedVantage, Inc.; Babette Apland, MS, MBA, Senior Vice President, Health and Care Management, HealthPartners, Inc; Thomas Foels, MD, MMM, Medical Director, Independent Health
Ellen Ward, Project Manager, Provider Contracting and Policy, Blue Cross Blue Shield of Michigan, and more.

Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 15 years. It develops highly targeted news, data and strategic information for managers in hospitals, managed care plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, looseleafs, books, strategic reports, and databases. AIS is located in downtown Washington, D.C., three blocks from The White House.

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