After more than a decade, many medical groups and health systems continue to struggle with how to create a fair, equitable and incentive-based distribution model for shared savings. There also are many organizations that have yet to embrace risk-based contracts. Summit Medical Group closed six transactions in a five-month span and none had risk-based contracts in place. There are two target audiences regarding this presentation: those who have been in the value-based care (VBC) space for years and have not adjusted along the way based on performance metrics, and those who have yet to step into risk-based contracts. Compensation/distribution models must adjust to shifts in the market, and there is a need to incentivize providers to fully participate from a good citizenship, quality, and expense management perspective. Summit’s model has matured and evolved over the past decade and has enhanced the practice of medicine and the results experienced in shared savings programs. Summit drafted its first plan in 2014 and has made minor adjustments along the way. Today the entire VBC program is highly successful, and the catalyst has been an engaging and ever evolving physician compensation model. Attendees will experience a two-way dialogue and take away a development and methodology strategy to successfully tackle the VBC compensation issue from both an upside and downside risk.
Learning Objectives:
Develop the building blocks of a successful VBC compensation model based on years of successful real-world examples and evolution
Formulate the metrics that must be captured to ensure the model impacts their quality, medical expense ratio and physician engagement
Propose other distribution strategies to increase provider engagement
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