Minimizing Hospital-acquired Complications through a Pay-for-Performance Program

April 21, 2009 – April 23, 2009
Daniel T. Roble

CMS, state Medicaid programs and insurers are denying payment for a growing number of Hospital-acquired conditions. Many hospitals find they do not have the tools and incentives to effectively transition their physicians and nurses toward implementing new practices that will minimize risk, improve patient outcomes, and reduce average case costs.

This innovative pay-for-performance program facilitates and supports the process of changing the hospital's culture, methods and compliance with respect to managing complications. In an effort to encourage health plan participation, payment arrangements would be created to share risks and rewards equitably between the hospital, participating physicians and nurses and the plan, where appropriate.

Please join us as we discuss the following topics:

  • Statistical analysis of frequencies, potential savings and return on investment
  • Overview of the program concept and the roles of key players
  • Legal considerations and compliance issues
  • Possible payment arrangements with health plans
  • Launching design, development and evaluation initiatives

Ropes & Gray Speakers

Daniel T. Roble
Daniel T. Roble
Retired Partner