Urogyn Practice Management Course 2017-AUGS Alternative Payment Model: SUI Model Discussion and Feedback (3)

Video Transcription

Video Summary

The video transcript discusses the importance of identifying opportunities for patient quality care improvement and avoiding unnecessary costs. The speaker emphasizes the need to analyze data, such as claims data, to identify areas where improvements can be made, such as reducing the number of open abdominal hysterectomies. They propose implementing quality metrics to incentivize clinicians to change their clinical behavior and make more cost-effective decisions. The speaker also mentions the challenge of building payment models based on Medicare claims data and highlights the potential for cost savings by addressing small costs that occur frequently, such as unnecessary lab tests. The transcript explores the concept of payment models that involve upfront payments to physicians and management fees to encourage more efficient care. The goal is to find strategies to bring savings back into the system to support services that are currently not reimbursed. The speaker acknowledges the need for further analysis and discussions to determine the best approach to distribute the savings and cover the costs of providing care. The mention of urodynamics indicates that these specific tests may still be necessary in some cases, particularly for complex conditions. The transcript also touches on the use of alternative payment models (APMs) and the importance of evidence-based care in determining the financial aspects of these models. (No credits were mentioned in the video.)

Meta Tag

Category practice management

Session 189680c

Keywords

patient quality care improvement

avoiding unnecessary costs

data analysis

quality metrics

cost-effective decisions