…not PCP. C’mon.
Paul Levy is CEO of a big Harvard teaching hospital, and he blogs, because he’s all about transparency.
As part of his ongoing conversation with medical students, here’s his take on pay-for-performance.
People often forget that P4P is already in practice.
The question is not if we want to implemnt P4P but how to fundamentally change what we reward. In one Robert Wood Johnson Study in Washington state where they implemented a chronic disease model of care (case managers, patient centered PHR’s) they saved over $3,000 per patient per year with better outcomes.
One of the largest local clinics opted out of the program as it would cost them money (in lost revenue) to participate. Until we move away from episodic care and start rewarding for preventive and educational care we are only going to be providing the high quality clinicians with some extra money.
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Matthew Holt interviews Jonathan Cohn, a senior editor with The New Republic whose book - "Sick: The Untold Story of America’s Health Care Crisis — and the People Who Pay the Price” - was recently published.
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