Aligning Physician Incentives for Shared Risk and Reward Across the Healthcare Continuum


Money may talk, but after 14 years of administering pay for performance (PFP) programs for its providers and specialists, HealthPartners has figured out what motivates physicians even more than financial incentives. Babette Apland, HealthPartners senior vice president of health and care management, shares this insight, as well as the measures by which HealthPartners evaluates pharmacies and specialists in its PFP program.

Apland will share how HealthPartners is aligning physician incentives and shared savings with PFP programs and a total cost of care initiative during Aligning Physician Incentives for Shared Risk and Reward Across the Healthcare Continuum, a 45-minute webinar on March 2, 2011.




Length: 4:47 minutes

Evaluating Health and Wellness Incentive Programs for Behavior Change


Getting people to think about dying is not the first health behavior that comes to mind when employing incentives. However, incentives can be used anywhere in the healthcare continuum — including end of life — to influence behaviors, notes Neal Sofian, MSPH, director of member engagement at Premera Blue Cross. Sofian describes the barriers individuals face at this time in their lives and how the use of incentives can result in exactly the kind of care these patients want and need.

Sofian shared the latest strategies to increase engagement and the results from these efforts during Evaluating Health and Wellness Incentive Programs for Behavior Change, a 45-minute webinar on February 10, 2011.




Length: 3:19 minutes

Avoidable ER Visits: Reduction and Prevention Benchmarks


How are healthcare organizations encouraging appropriate use of the emergency room in their populations?

In this month’s healthcare benchmarks podcast, Healthcare Intelligence Network executive VP and COO Melanie Matthews shares metrics from HIN’s July 2010 survey on reducing avoidable ER visits, with relevant commentary from Dr. Barsam Kasravi, managing medical director for state-sponsored programs at WellPoint; and Sara Tracy, senior manager of emergency services at Kaiser Foundation Health Plan of Colorado.

More actionable data on reducing avoidable ER use is contained in 2010 Performance Benchmarks in Reducing Avoidable ER Visits, a 50-page report derived from responses from 90 healthcare organizations. Presenting this data in more than 30 easy-to-follow graphs and tables, this resource documents trends and metrics from emergency departments across the country that are successfully managing ER utilization.




Length: 4:22 minutes

Rewarding Primary Care Practice Reform with Physician Payment Reform: A Medical Home’s Experience


Capital District Physicians’ Health Plan’s (CDPHP) medical home pilot began in 2008, with the dual goals of reforming both the practice of primary care in the CDPHP network and payments to these physicians. Dr. Bruce Nash, CDPHP’s senior vice president of medical affairs and chief medical officer, explains what sets the two-phase CDPHP program apart from other medical home pilots, how participants met the challenge of practice transformation, and why preliminary pilot results mirror what’s going on in the industry today.

Dr. Nash described how CDPHP met the challenge of developing a novel risk adjustment methodology that would drive a global payment combined with a significant bonus structure to attract physician participation and encourage future growth by medical students to enter primary care during Rewarding Primary Care Practice Reform with Physician Payment Reform: A Medical Home’s Experience, 45-minute webinar on February 23, 2011.




Length: 3:39 minutes