Search -
Health Plan Pay-for Performance Programs: The Next Generation
Health Plan Pay-for Performance Programs The Next Generation Author:Atlantic Information Services, Inc. Health Plan Pay-for-Performance Programs: The Next GenerationIn 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 chan... more »ge 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.Table of Contents-Six Trends in Health Insurers Adoption of Pay-for-Performance Programs
-2006 National Pay-for-Performance (P4P) Study Results With 2007 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.
-Introduction
-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
- Summary
- Introduction
- 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