Condition based payment: improving care of chronic illness
[...]it aligns providers and patients. Summary points Fee-for-condition better aligns the provider and patient than do today's payment mechanisms It rewards providers for innovations that improve results and rewards patients for seeking the best care at the best price By linking price and outco...
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Published in | BMJ Vol. 330; no. 7492; pp. 654 - 657 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
London
British Medical Journal Publishing Group
19.03.2005
British Medical Association BMJ Publishing Group LTD BMJ Publishing Group BMJ Publishing Group Ltd |
Edition | International edition |
Subjects | |
Online Access | Get full text |
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Summary: | [...]it aligns providers and patients. Summary points Fee-for-condition better aligns the provider and patient than do today's payment mechanisms It rewards providers for innovations that improve results and rewards patients for seeking the best care at the best price By linking price and outcomes, fee-for-condition achieves greater transparency of quality and cost than do current payment mechanisms Chronic care practitioners can effectively use their advantage in performance to lead the way to a more rational payment system All proposed changes in provider compensation risk backlash from providers and patients, as we learned from the American experiment with managed care. |
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Bibliography: | href:bmj-330-654.pdf istex:9A01E697EE8A1881361A41C0E1983CBA2DD170FF PMID:15774999 Correspondence to: A DiPiero, Division of General Internal Medicine and Geriatrics, L475, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239, USA ark:/67375/NVC-CXNKM9VL-J local:bmj;330/7492/654 ArticleID:bmj.330.7492.654 ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 Correspondence to: A DiPiero, Division of General Internal Medicine and Geriatrics, L475, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239, USA dipieroa@ohsu.edu Contributors and sources: AD is a physician and faculty member at Oregon Health and Science University, where he helped establish a diabetes chronic care model practice. DS is a physician and former chief executive officer of two healthcare technology companies. Together the authors have a decade of experience in healthcare business, with previous clients including insurers, hospitals, pharmaceutical companies, and provider organisations. They currently advise insurers, hospitals, providers, and government organisations on provider payment models and incentives. Competing interests: AD works in a diabetes chronic care practice at Oregon Health & Science University. AD and DS are uncompensated co-chairs of HealthOregon, a public service organisation dedicated to improving the quality and affordability of health care. Aspects of this manuscript have been presented orally to the Oregon Health Policy Commission and Legacy Health Systems Internal Medicine Grand Rounds. The presentations are posted at www.oregon.gov/DAS/OHPPR/HPC/HPCMinutes.shtml and at www.healthoregon.net |
ISSN: | 0959-8138 0959-8146 1468-5833 1756-1833 |
DOI: | 10.1136/bmj.330.7492.654 |