Gainsharing and Collaborative Initiatives
In 2006, the Partners of MCRC Group implemented an
inpatient shared savings program at CHP that rewards physicians for
reaching cost and quality benchmarks established by hospitals on
managed care patients. Soon after the program began, the CHP hospitals
began to see physician behavior changes that resulted in substantial
cost reductions and improvement in quality. In 2008, CMS awarded one of
the CHP hospitals with a waiver to perform the same gainsharing program
with fee for service Medicare patients, hoping to see similar results
for CMS. The success of both the managed care and Medicare fee for
service program at CHP led Greater New York Hospital Association to
start an initiative to expand the program to more member hospitals, and
CMS to recently solicit hospitals around the country to participate in
similar demonstrations. MCRC Group, along with Applied Medical Software, the
company that holds the patent on the system that calculates the savings
and incentive payments, now works with hospitals around the country to
implement similar gainsharing and other hospital/physician
collaboration programs that align the incentives of hospitals,
physicians, and even payors. MCRC Group's knowledge of hospital operations,
physician practice and payor processes, enabled it to help many
hospitals structure programs that motivate physicians to practice more
efficiently and improve quality outcomes, yielding rewards for all
involved.