Approaches to Financing

1
Approaches to Financing Aligning
IncentivesLessons Learned

• eHI Capitol Hill Update
• May 11 2005

Bridges To Excellence, Inc. Francois de Brantes,
Officer and Director
2
Original design proven right

• Meaningful incentives 5 to 10 of physician
  revenue 10K to 15K per physiciancash is
  especially important for PCPs
• Independent review of performance (i.e. NCQA),
  and panel-wide sampling
• Standard and recognized measures that are
  attainable
• Consumer engagement when holding physicians
  accountable for outcomes
• Predictable costs benefits, and timely rewards

3
Original hypothesis also proven right
Diabetes Care Link
Physician Office Link
Average episode costs of care for recognized and
non-recognized physicians
4
Some barriers and findings were unexpected

• Small practices need lots of help in
  reengineering and there are not many resources
  available
• Single disease focus limits program uptake among
  PCPs
• Recognized docs are happy to get more patients,
  even w/ a chronic condition
• You need a pull (bonus) and a push (steerage) to
  maximize results
• Organized groups required smaller per physician
  bonuses to get engaged