17H—Achieving Maximal Incentive Payments With P4P Arrangements

Monday, March 28th

About the Session

To reduce costs, improve the health of populations, and enhance the patient experience, healthcare organizations are increasingly incentivized through value-based payment arrangements that tie reimbursement directly to clinical quality metrics. While CMS’ value-based programs are a “zero-sum game,” commercial payers often negotiate incentive payments directly with organizations to achieve predetermined benchmarks in quality outcomes.

Complex healthcare organizations must ensure they achieve negotiated quality outcome targets and do not leave money on the table. Join this interactive discussion with clinical leaders from the Medical University of South Carolina (MUSC) and ECG Management Consultants as they share their approach to improving performance in quality metrics. Learn about MUSC’s various incentive programs and how MUSC’s quality structure interfaces with its clinical care teams, decision support specialists, and EHR. Panelists will also discuss how MUSC is engaging teams to drive improvements and share the tactics they use to overcome challenges so that they earn all incentive payments.

Learning Objectives:

  • Explore how payer contracts have evolved to include value-based incentives for achieving quality benchmarks.
  • Gain an insider’s perspective into MUSC’s approach to achieving quality performance goals through a tightly integrated and effectively governed QAPI program.


Presented By

Sandra Myerson, RN

Associate Principal
ECG Management Consultants

Danielle Scheurer, MD

Chief Quality Officer
MUSC Health System

Kimberly Adelman, PhD, FACHE

Senior Manager
ECG Management Consultants