tag:blogger.com,1999:blog-32053362.post5015166745918299148..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: BID doctors and BCBS go globalPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-32053362.post-53711880824987478342010-12-29T10:35:41.153-05:002010-12-29T10:35:41.153-05:00This is great! Based on the research I have done, ...This is great! Based on the research I have done, different methods of payment reform work for each facility. How is BIDPO planning on tracking cost savings?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-12572858593561075642010-12-15T09:36:46.853-05:002010-12-15T09:36:46.853-05:00Isn't it shameful that the insurance companies...Isn't it shameful that the insurance companies have made their billing so inscrutable that it's impossible for physicians to know what they "charge" for services? Though they are apparently willing participants, I don't think they need to be given a pat on the back for making some effort to clean up after themselves (and you can bet they're not going to suffer from this tack, either) and I thank and congratulate BIDPO for making this effort.jemimahnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-25535066946957176122010-12-10T11:10:05.214-05:002010-12-10T11:10:05.214-05:00Yes! Great beginning of a new experiment in health...Yes! Great beginning of a new experiment in healthcare delivery.<br />It strikes me as an example of the kind of systemic alterations that must accompany the operations/continuous improvements provided by Lean, for example.<br />This underlines the point that (systems thinker/researcher) Dr. Russell Ackoff was making in a video posted recently on Mark Graban’s Lean Blog.<br />It will be exciting to see how this experiment in global reimbursement persists during anticipated attacks by the plaintiff bar, the SEIU and others.<br />May the Force (for the good) Be With You.<br />/Dr. PetePeter P Patterson MD MBAhttp://twitter.com/IDrPetenoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-56842287295548821872010-12-10T11:07:59.140-05:002010-12-10T11:07:59.140-05:00I totally agree.I totally agree.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-74608686297527026722010-12-10T10:14:27.674-05:002010-12-10T10:14:27.674-05:00Paul – Even though the hospital is not involved, i...Paul – Even though the hospital is not involved, it’s still very good news, I think, and a significant step forward in payment reform. Doctors will now have an incentive to ensure that their patients receive imaging, labs and hospital based procedures from the most cost-effective high quality facility. In the past, doctors generally did not consider it part of their job to know or care about costs – either the insurer’s or the patient’s share. Now they will.<br /><br />.Barry Carolnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-50742039045448402612010-12-10T08:53:18.893-05:002010-12-10T08:53:18.893-05:00Barry, to be clear, this was a contract with the p...Barry, to be clear, this was a contract with the physician's group, not the hospital. We are on different contract renewal schedules with BCBS. The leadership here was displayed by Dr. Rosenberg and his team, plus the MDs in the contracting group.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-50141542756979080642010-12-10T08:50:06.537-05:002010-12-10T08:50:06.537-05:00Wow! Congratulations to both BIDMC and to BCBS for...Wow! Congratulations to both BIDMC and to BCBS for your leadership and your willingness to take some risks on a new payment model. I was wondering if you could give us a sense for how your revenue expectations under this approach, assuming no bonus compensation, compares with what your revenue would have been under the traditional fee for service model and how big is the maximum potential bonus if you score well on all of the quality metrics. Also, how would the increase in the base payment rate be determined for future years?Barry Carolnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-42563886533611765642010-12-10T08:37:35.091-05:002010-12-10T08:37:35.091-05:00Congratulations, this is exactly the kind of thing...Congratulations, this is exactly the kind of thing needed to help change our current structure! I'm curious if these BCBS patients are now locked-in to these physicians, as I've seen issues with physicians showing that the MCR companies were calculating didn't apply since they didn't see so many of the patients listed as 'assigned' to them? (In this scenario, the insurance companies don't restrict access to that particular physician)jonmcrawfordhttp://www.linkedin.com/in/jonmcrawfordnoreply@blogger.com