Value to both fee-for-service and productivity-based practices
Charts – record retrieval, copies, etc.
Increased public perception…use of IT=good doctor
If you can optimally code – can 20%Expected margin is 20% improvement in
In a fee for service world – The AQC is a significant change from traditional fee-for-service contracts. It combines two forms of payment. The first is a global, or fixed, payment per patient adjusted for age, sex, and health status which increases annually in line with inflation. The second payment includes substantial performance incentives tied to the latest nationally accepted measures of quality, effectiveness, and patient experience of care. The contract's global payment covers all services received by a patient including primary, specialty, and hospital care. So, when a doctor spends more time with a patient and helps the patient avoid an unnecessary hospitalization1. the placing of a patient in a hospital for treatment.2. the term of confinement in a hospital. , the patient receives better care, the doctor and hospital have the potential to receive performance incentives, and the overall costs are less. Employers benefit as the new system moderates cost increases through better care. You can read more about the AQC by visiting www.bluecrossma.com/quality. Budgeted breakdown across a range of services and breakdown to a number >> cap available maximum if fee for services, but if shift to aqc – give whole group poss of earning >> closer to premium dollar before carved out – if effective and efficient – sharing savings on the service rendered (cant do it without HIT in place: be proactive not reactive)Level playing field
Drs. must define realistic goals:based on their needs and anticipated usesbased on the functionality of systems that are in place today (here could mention examples of successes and failures)based on future anticipated needs (what the future might bring in terms of more advanced uses (interoperability, patient portals etc.)realistic examination of value i.e., cost vs. revenue enhancement