HCI3 Update from the Field – Newtown, CT
Every quarter we release more in-depth news from the field – and this quarter is no different. In this newsletter we introduce several columns from our Board members. The Lawyer's Brief reviews some of the issues that providers face when initiating clinical collaboration. The Physician's Notes poses questions about the way in which physicians that are being integrated into corporate organization will face a new set of incentives. A special preview of a soon-to-be-released paper by Suzanne Delbanco illustrates how much additional work is needed to determine which type of incentive will be most effective in driving the right behaviors. We then focus on several updates from current implementations and early lessons learned.
What this means to you – there continue to be many unanswered questions, and there always will be. But there are also a lot of questions that have been answered at this point. We know that physicians and hospitals can get together and collaborate clinically without forced legal and organizational integration. We know that incentives matter and that focusing physicians and hospitals on managing the costs of care within an episode drives the intended behavior – costs are contained within those episodes and providers collaborate more closely to achieve better patient outcomes. We know that health plans who have the will can implement payment reform schemes, including episode of care payment, and some can even get it done in a couple of quarters. That's basically enough knowledge to move the market and to continue to learn, refine, and scale. The solutions are simple, they simply need to be applied.
Francois de Brantes
Health Care Incentives Improvement Institute, Inc.