Aligning managed care contracts, compensation plans, and incentive models
Nugent, M.E.
Healthcare Financial Management Journal of the Healthcare Financial Management Association 65(11): 88-92; 94, 96
2011
ISSN/ISBN: 0735-0732 PMID: 22128600 Document Number: 655817
Today's pure production-based compensation and incentive models are lagging behind new, third-party, "value based" payment models, such as shared savings, bundled payments, and pay for performance. Financial executives are struggling with the emerging disconnects between new, external payment models and traditional methods providers use to distribute funds internally. To begin to align internal payment models with emerging third-party payment models, providers should inventory the misaligned incentives within their own organizations, engage their physicians and payers in a dialogue on what needs to be paid and how, and learn from past mistakes. No perfect payment distribution model exists. Rather, providers should choose a best-fit model based on their market position, culture, and readiness for change. Ultimately, finance executives should take the lead in aligning their organization's internal and external payment models.