Mayo Clinic Health Policy Forum IV

Paying for Value

June 18-19, 2007
Hanover, NH
Co-host: The Center for Evaluative Medical Sciences, Dartmouth Medical School
Co-Chairs: Robert Smoldt and John Wennberg, M.D.

News Release
Participants

Agenda

Monday, June 18

6 p.m. - Reception

Tuesday, June 19

7:30 - 8 a.m. - Breakfast
8 - 8:30 a.m. - Introduction
8:30 - 9:15 a.m. - Issue Overview
9:15 - 10 a.m. - Case Study
10 - 10:30 a.m. - Break
10:30 - 12 p.m. - Overview of Payment Options
12 - 12:45 p.m. - Lunch

1 - 2:30 p.m. - Discuss Payment Options
2:30 - 3 p.m. - Rating of Options
3 - 3:30 p.m. - Break
3:30 - 5:30 p.m. - How do we build in patient and insurer participation?
7 p.m. - Reception/Dinner

Suggested Readings

Paying for Care Episodes and Care Coordination
Karen Davis, Ph.D.
The New England Journal of Medicine. vol. 356:1166-1168, no. 11
Extract
Full text

Care Patterns in Medicare and Their Implications for Pay for Performance
Hoangmai H. Pham, M.D., M.P.H., Deborah Schrag, M.D., M.P.H., Ann S. O'Malley, M.D., M.P.H., Beny Wu, M.S., and Peter B. Bach, M.D., M.A.P.P.
The New England Journal of Medicine. vol. 356:1130-1139, no. 11
Abstract
Full text

Pay for Performance at the Tipping Point
Arnold M. Epstein, M.D.
The New England Journal of Medicine. vol. 356:515-517, no. 5
Extract

Pay-for-Performance or Pay for Value?
Robert K. Smoldt, MBA, Denis A. Cortese, M.D.
Mayo Clinic Proceedings. 2007, 82:210-213
Extract
Full text

Public Reporting and Pay for Performance in Hospital Quality Improvement
Peter K. Lindenauer, M.D., M.Sc., Denise Remus, Ph.D., R.N., Sheila Roman, M.D., M.P.H.,
Michael B. Rothberg, M.D., M.P.H., Evan M. Benjamin, M.D., Allen Ma, Ph.D.,
and Dale W. Bratzler, D.O., M.P.H.
The New England Journal of Medicine. vol. 356:486-496, no. 5
Abstract

Value-Based Insurance Design
Michael E. Chernew, Allison B. Rosen and A. Mark Fendrick
Health Affairs. 26, no. 2 (2007): 195-203
Abstract

Value-Based Insurance Design and the Next Generation of Consumer-Driven Health Care
Troyen Brennan, Lonny Reisman
Health Affairs. 26, no. 2 (2007): 204-207
Abstract

Pay-for-Performance: Will the Latest Payment Trend Improve Care?
Meredith B. Rosenthal, R. Adams Dudley
JAMA. 2007; 297:740-744
Extract
Full text

Pay for Performance in Commercial HMOs
Meredith B. Rosenthal, Ph.D., Bruce E. Landon, M.D., M.B.A., Sharon-Lise T. Normand, Ph.D., Richard G. Frank, Ph.D., and Arnold M. Epstein, M.D.
The New England Journal of Medicine. vol. 355:1895-1902, no. 18
Abstract

A Novel Plan Helps Hospital Wean Itself off Pricey Tests
Wall Street Journal
Extract

Rewarding Provider Performance: Aligning Incentives in Medicare
Institute of Medicine
View PDF

Creating Accountable Care Organizations: The Extended Hospital Medical Staff
Elliott S. Fisher, Douglas O. Staiger, Julie P.W. Bynum and Daniel J. Gottlieb
Health Affairs. 26, no. 1 (2007): w44-w57
Abstract

In Bid for Better Care, Surgery With a Warranty
Reed Abelson
Wilmington Star-News
Read article