PracticeLink Magazine

FALL 2014

The career development quarterly for physicians of all specialties, PracticeLink Magazine provides readers with feature articles, compensation stats, helpful job search tips—as well as recruitment ads from organizations across the U.S.

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54 | PracticeLink.com FALL 2014 for patients," says Fendrick. "If you mandate zero costs for something for patients, they buy more of it." Fendrick testifed before Congress on the discordance of paying physicians based on measures that "at the same time, you're making it harder for the patient to do." In the V-BID program, Fendrick, who still prac- tices in addition to his policy and academic work, emphasizes align- ment of patient and physician incen- tives with what he calls "clinical nuance." Not all physician visits, diagnostic tests or medications are of equal value. "When people ask me to name three high-value services, I tell them coronary stents, colonoscopy and back surgery," says Fendrick. "And when they ask me to name three low-value services, I say coro- nary stents, colonoscopy and back surgery." Fendrick explains that when a patient has an acute heart attack, a stent has high value. But with barely treated unstable angina, a stent may have no value at all. "With value-based insurance design, instead of setting patient cost sharing on price, we base it on value," says Fendrick. Critical to the future success of health care reform is how reim- bursement redesign and patient- centered care efforts affect physician practice, patient behav- ior and satisfaction and clinical outcomes. "The key question in the long run is whether global budget and other ACO-type contracts can encourage providers to change the culture of practice, improving value and decreasing waste, so that health care spending is restored on a sustainable path organically rather than by the fnancial risk of a contract," says Song. From practice to payment Most payment systems contract with physician groups or physi- cian organizations. It's then up to the practice or the physician's employer to structure internal provider incentives that align with the organization's mission and with reimbursement incentives. With the ACA, a trend toward aligning physician payment or Contact: Physician Services docs@franciscanalliance.org States Represented: Indiana & Illinois Phone: (844) FPN-DOCS/(844) 376-3627 Illinois Indiana Indianapolis Lafayette Crawfordsville Chicago Michigan City Munster Michigan Franciscan Physician Network includes more than 750 physicians at 260 practice locations who care for more than 3 million patients annually. This organization brings together, under one name, the many primary care and specialty physician groups associated with Franciscan Alliance's hospitals and access points across Indiana, Illinois and Michigan, including in these cities: Crawfordsville Chicago suburbs, including Chicago Heights, Olympia Fields Indianapolis area, including Carmel and Mooresville Lafayette area Northwest Indiana, including Crown Point, Dyer, Hammond, Michigan City, Munster, Valparaiso New Buffalo, Michigan Franciscan Alliance is one of the largest Catholic health care systems in the Midwest, with 13 hospitals and a number of nationally recognized Centers of Health Care Excellence. Franciscan Physician Network offers opportunities in primary and specialty care throughout the Franciscan Alliance system. Please contact us for additional information or visit our website at FranciscanDocs.org MIDWEST PRACTICE OPPORTUNITIES Connecting Physicians to Patients Preparing for Value-Based Compensation Continued from previous page

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