Opinion Based List:
Top 10 Lessons Learned from “Mature” Co-management Arrangements
Submitted by Anonymous on Fri, 10/28/2011 - 11:41
- The improvement in the operations of a co-managed surgical service line, such as orthopedics, had a huge impact on the operations of the OR overall.
- During the first years of the arrangement, performance standards, targets, tasks, and metrics were often adjusted to match those used by accrediting bodies and CMS.
- Most organizations commissioned independent opinions on the fair market value of the payments outlined in the agreement.
- Co-management arrangements are more sustainable when they are focused on service lines where the opportunities for quality improvement and/or cost reduction are the greatest.
- In the early agreements, the hours covered in the agreement were typically for physician involvement only.
- Many physicians confused co-management with gain-sharing and were surprised to learn that the hospital savings are not shared with physicians.
- Throughout the 2000’s, CEOs reported that they spent as much as 50 percent of their time on physician problem resolution.
- The success or failure of co-management arrangements in some hospitals confirmed that the culture of clinical integration starts at the top.
- Hospitals with a healthy compliance culture seemed more successful with co-management arrangements
- As the payers continue to seek greater value, more extensive clinical metrics have been imposed upon healthcare entities, and the pressure to reduce costs is escalating.
Notes: Read the full article at: http://www.thecamdengroup.com/blog/2011/10/top-10-lessons-learned-from-mature-co-management-arrangements/
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