It was an interesting conversation.
- Much of his day is spent in technology assessment, dealing with an insatiable appetite among his specialist staff for the purchase of new medical devices so they can perform gee-whiz procedures. He frequently has to say no.
- About 10% of his primary care physicians’ compensation is based on “pay for performance.” He has no doubt that it leads to physician behavior change. The P4P measures are all driven by the insurers and the extra revenue is in turn shared with the docs. He is aware of other groups that make 30% of the provider compensation ‘variable.’
- The DMCB asked about that thingy called ‘disease management.’ This physician group has it and the medical director is convinced it works. They’ve hired the nurses that deploy remote telephonic coaching to help them manage their capitation risk.
Let the games continue.