Physician Compensation Models and Metrics Under Population-Based Reimbursement - On-Demand

Quick Overview

Presented on: Thursday, August 29, 2013
Presented by: Tricia Nguyen, MD and Vishu Jhaveri, MD

Leading CMOs from Banner Health Network and Blue Cross Blue Shield of AZ share strategies and metrics for implementing a value-based model of physician compensation.

Availability: In stock

Pubcode: YD082913D
Price: $279

Physician Compensation Models and Metrics Under Population-Based Reimbursement

Available ON-DEMAND

As hospitals, health systems, and physician practices advance toward population health management, physician compensation is a key consideration. Physicians used to working on a fee-for-service basis are likely to be wary of a shift that may change their take-home compensation and work habits. Timing is critical, and organizational culture plays a significant role. Primary care physicians and specialists must collaborate differently. What are the right models and metrics to match the different incentives for different organizations to deliver health care value?

Join experts from Banner Health Network and Blue Cross Blue Shield of AZ as they discuss strategies and metrics for implementing a value-based model of physician compensation. Register for Physician Compensation Models and Metrics Under Population-Based Reimbursement to hear lessons learned and best practices.

You’ll learn how to:

  • Explain the shift in physician reimbursement and the implications of the new population-based model
  • Understand necessary process changes surrounding physician compensation
  • Gain proven strategies through real-life examples from Banner Health Network and Blue Cross Blue Shield of Arizona
  • Create an organization-specific set of compensation metrics centered on quality, access, and patient experience


Program agenda:

  • Payer/delivery system partnership
    • Cooperation from antagonism
    • Insurance risk vs. performance risk
  • Physician compensation models from payer and large employer perspective
    • The payment and value calculus
      • Custom needs
      • Necessary changes to current approach
      • Process change and custom delivery system
    • Types of payment models
      • Past
      • CMS
      • Front-runner examples
  • How Blue Cross Blue Shield of Arizona ties in quality with population health management
    • Partnerships
    • Governance and accountability
    • Long-term implications
  • Physician compensation models from provider perspective
    • Creation of Banner Health Network
      • Drivers
      • Complexity
      • Resolving different incentives
    • Necessary changes to current approach and infrastructure
      • Clinical Consensus Groupss
      • Clinical Performance TRiADs
        • Integration of data, EMR
    • Compensation metrics


Who is attending?

CFO, COO, Group Practice Administrators, CMO from payor and provider organizations


Meet the speakers:

Tricia Nguyen, MD, CMO, Banner Health Network

Tricia Nguyen, MD, MBA, is Chief Medical Officer for Banner Health Network (BHN). BHN is a comprehensive provider network that accepts patient care and financial accountability for those served by the network. BHN, one of 32 organizations selected to participate in the Pioneer Accountable Care Organization model by the Centers for Medicare and Medicaid Services, was designed to provide a highly coordinated patient care experience for Medicare beneficiaries and members of select private sector insurance plans. She has previously served as an emergency medicine physician and a physician leader in a hospital setting and has significant experience with electronic medical records technology and data management.

Vishu Jhaveri, MD, MSA, CMO and Senior VP of Health Services, Blue Cross Blue Shield of Arizona

Vishu Jhaveri, MD, MSA, is senior vice president of health services, network management, and chief medical officer at Blue Cross Blue Shield of Arizona (BCBSAZ). In this capacity, he manages a variety of functions that include; accreditation, medical underwriting, medical claims review, clinical quality improvement, care management, disease management, health promotion/wellness, utilization review, provider credentialing, network services and contracting. He also contributes his expertise to the development of BCBSAZ corporate strategy as it relates to health services, along with serving as a corporate liaison to the Arizona clinical community, most notably with the Arizona Medical Association.


System requirements

To fully benefit from the webcast experience, you will need a computer equipped with a broadband Internet connection, a sound card, and speakers or headphones. You will also need Macromedia Flash Version 8.0 or greater and an Internet browser (e.g., Internet Explorer); additionally, we recommend a screen resolution of 1024 x 768. The use of AOL or wireless Internet connections is not recommended.