Payment Category | With 18% Reduction in Hours Worked, $ | With Current Work Hours, $* |
---|---|---|
Source: Lewin Group estimates using illustrated assumptions.13 | ||
FTE = full-time-equivalent; HEDIS = Health Plan Employer Data and Information Set. | ||
Note: numbers in parentheses indicate loss. | ||
*Assumes physicians use savings in time worked to increase patient volume to maintain total hours worked per week. | ||
† Assumes all patients are enrolled in participating health plans. Assumes average panel of about 2,030 patients per FTE physician. | ||
‡ Annual fee based upon the net cost of implementing the New Model (estimated net cost of $18,123 at current patient volume, rounded to $10 per patient). | ||
§ Bonus of up to $80 per diabetes patient for high scores in providing diabetes care. Assumes 7% of patients are diabetic. | ||
II Bonus of up to $160 per cardiac patient for high scores in providing cardiac care. Assumes 3% of patients have cardiac conditions. | ||
¶ Annual bonus amount based upon performance indicators up to $20,000 per physician. | ||
Current average compensation | ||
Mean compensation per FTE physician† | 167,500 | 167,500 |
Changes in physician compensation per physician | ||
New Model under current fee-for-service model (taken from microanalysis) | (20,900) | 42,800 |
Annual New Model fee per patient‡ | ||
New Model fee per patient ($10 per patient per year) | 20,300 | 23,300 |
Diabetes care link potential bonus§ | ||
Diabetes care link bonus | 0 – 11,400 | 0 – 13,000 |
Cardiac care link potential bonus II | ||
Cardiac care link bonus | 0 – 9,750 | 0 – 11,200 |
Annual performance reward¶ | ||
Performance award scored on: | 0 – 20,000 | 0 – 20,000 |
Use of generic drugs | ||
Patient satisfaction survey | ||
HEDIS performance measures | ||
Total change in compensation | (600) – 40,550 | 66,100 – 110,300 |
Total compensation under policy | ||
Total net physician compensation§ | 166,900 – 208,050 | 235,500 – 277,800 |