Hospital Gain-Sharing Program Offers Incentives to Physicians Based on Their Efficiency, Producing Significant Cost Savings Without Decline in Quality
A group of 12 New Jersey hospitals offered upside incentives to individual physicians based on their performance on various efficiency metrics, leading to significant cost savings without negatively affecting quality of care.
Co-Located, Independent Primary Care and Specialty Practices Collaborate to Enhance Access, Improve Quality and Satisfaction
A medical complex houses a primary care practice, a wide array of specialty practices, and ancillary service providers who operate independently but collaborate closely to provide same-day access and communicate in real time on individual cases, leading to improvements in breast and colon cancer screening rates and to higher physician and patient satisfaction.
Major Health Systems Collaborate on Organizational Structures and Policies, Enhancing Access to Care and Reducing Uncompensated Care Costs for the Uninsured
Large health care systems in Detroit came together to develop an organizational structure and common goals and policies designed to strengthen the safety net for uninsured residents, leading to increased enrollment in public insurance, enhanced access to primary and specialty care, and lower uncompensated care costs.
Medical Home Features Small Panels, Long Visits, Outreach, and Caregiver Collaboration, Leading to Less Staff Burnout, Better Access and Quality, and Lower Utilization
A patient-centered medical home features smaller panel sizes and longer visits, pre- and postvisit outreach and care management, close communication and collaboration between physicians and other caregivers, upgrades to and better use of existing technology, and the elimination of productivity-based bonuses, leading to less staff burnout, fewer ambulatory sensitive admissions and emergency department visits, higher physician satisfaction, and improvements in access to and quality of care.
Multispecialty Practice Uses Time Credit Payments and Other Policies to Enhance Access to Conventional and Alternative Care, Improving Health Status of Low-Income Patients
A practitioner-run, multispecialty center uses various policies, including an independent contracting model, strict credentialing processes, self-governance initiatives, and alternative payment systems, to enhance access to conventional and complementary medical care and improve the health status of underserved patients.
Increasing Efficiency and Enhancing Value in Health Care: Ways to Achieve Savings in Operating Costs per Year
This white paper describes the concepts and steps necessary to systematically identify and eliminate waste at health care organizations while maintaining or improving quality.