Understanding Non-Traditional Physician Reimbursement Paradigms
[By Staff Reporters]
www.BusinessofMedicalPractice.com
According to Brian Knabe MD, Mark Fendrick, MD and Michael E. Chernew, PhD, instead of the one size fits all approach of traditional health insurance reimbursement, a “clinically-sensitive” cost-sharing system that supports co-payments related to evidence-based value for targeted patients seems plausible.
The New Model
In this model, out-of-pocket costs are based on price and a cost/quality tradeoff in clinical circumstances: low co-payments for interventions of highest value, and higher co-payments for interventions with little proven health benefit. Smarter benefit packages are designed to combine disease management with cost sharing to address spending growth.
Assessment
Today, whether independent or employed, physicians can pursue creative compensation models not like the one briefly described above and unknown just a decade ago.
Conclusion
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