It’s only just started, so stay tuned on the clinical and financial outcomes. The comparator group will be drawn from the non-participating patients.
But there were some interesting highlights:
- The patient encounters continue to be paid using the established fee schedule, but there is an additional monthly adjusted case rate that ranges from $25 to $100.
- The clinics have salaried physicians and there is no guarantee that the docs will personally share in the case-rate revenue. Boeing had some anecdotes suggesting the participating physicians were still very supportive.
- Multiple enrollee incentives were necessary and even then, only 20% of the eligible patients opted-in, even with a waiver of the co-pay for the medical home - AICU intake exam. What seemed to work best was a recruitment letter signed by the patients’ existing physicians.
- This is another example of the co-existence of the medical home and disease management in the same network.