Co Management Agreement Sample
It is likely that co-management agreements will continue to be used as hospitals look for ways to improve the quality of care while reducing costs. And as doctors look at changes in the way insurance companies pay for health care, they are also interested in looking for new ways to improve their practices. Value-based health care cannot be successful without the participation of a physician, as physicians are at the forefront of clinical care design and reorganization. Under a typical co-management agreement, a hospital will enter into contracts with medical specialists such as anaesthetists to manage and manage a whole line of hospital services. The co-management agreement usually consists of two parts. There is a “basic tax,” a fixed payment, made at regular intervals, that compensates the group of doctors for daily basic management fees, monitoring and improvement of service conduct. In addition to the basic tax, an incentive fee is charged. This fee is not guaranteed, but is only granted if the quality targets set for this specific service line are met. Therein lies the incentive for the performance of the group of doctors. If the group of doctors achieves the results goals, it receives the incentive tax in addition to the basic fee.
In this way, the co-management agreement encourages physicians to adhere to quality standards and patient outcome markers, rather than promoting volume-based practice. A co-management agreement is an increasingly popular model of integration, whereby hospitals and doctors jointly manage a health system. In large part, the shift to payment models, which focus on better clinical outcomes, is aimed at encouraging physicians to cooperate with hospitals to improve overall efficiency and quality. As part of a co-management agreement, doctors and hospitals have the contract to have doctors manage a full range of hospital services together, such as. B anesthesia services. Under this type of management structure, physicians have a financial incentive to achieve quality results; part of the physician`s remuneration is “performance-based,” which requires the group of physicians to meet certain standards in order to obtain full compensation. Due to the growing popularity of this type of practice agreement, it is important for physicians to learn more about these co-management agreements. A bad agreement on co-management may violate federal and national laws that prohibit kickbacks and other types of rewards between hospitals and doctors. An important thing to consider in a co-management agreement is the need for basic and incentive fees to be based on “fair market value.” In addition, compensation may not vary depending on the number or number of patients seen by the physician group or the number of transfers made by the group to the hospital for services. On the contrary, the objective of the co-management agreement must clearly be to improve quality. After all, these agreements are often limited in duration by necessity.
Quality objectives and benchmarks are constantly evolving and evolving; Measures and results must therefore be subject to permanent revision. Many organizations refer to the HHS Office of Inspector General`s Advisory Opinion 12-22 as a model for the development of a law-adhering agreement. Each year, the United States spends much more on health care than any other developed country.by