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Final Case Study / Essay Undergraduate & Gradate Students: Create a physician quality incentive program for primary care providers in an employed medical group who sees both FFS Medicare patients and has Medicare Advantage global risk lives. There are 25 physicians in the practice each with a different mixture of FFS vs. global risk lives. Senior leadership has budgeted $250,000 for the total bonus distribution. *See the grid below with provider-paneled lives by payer type and number of providers per clinic Components to consider and address in your incentive structure: Appropriate financial motivation of physician productivity; Consider what you have learned about payer reimbursement types Managed care efficiency; Senior population metrics; how will you weight them? A group citizenship component; is provider participation in their clinic/organization important to creating a culture of quality? A patient satisfaction component, A group profitability component.

Date Posted: 10/07/2019
Category: Health Care
Due Date: 10/07/2019
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