An Information and Point-Counterpoint Presentation By

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Presentation transcript:

An Information and Point-Counterpoint Presentation By Disease Management Colloquium Philadelphia, PA May 11, 2006 The Risk of Perverse Incentives in P4P Models Involving the Chronically Ill An Information and Point-Counterpoint Presentation By Drs Thomas Foels and Ronald Bangasser

First Generation Second Generation Prevention Chronic Disease Component Composite (Uni-dimensional) (Multi-dimensional) Secondary Source Primary source (Claims) (Medical record) “Social Darwinism” “Social Equity” (improvement literacy)

Practice Excellence Program

Data Analysis and Trends Asthma

Data Analysis and Trends Diabetes

Point-CounterPoint Does P4P lead to valuable systems change? Is it the right tool for quality improvement? Does the global payment system align with P4P? You can’t measure everything. Are selected P4P metrics a true proxy for health care quality in other domains? Can you distinguish physician responsibility from patient compliance issues?

Point-CounterPoint 2 Is “efficiency” a legitimate or fair P4P metric? Q and A as time allows.