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Doctors Bat A Thousand in Year Two of PGP Medicare Demo

August 14, 2008 /

Homrun CMS announced today that all 10 participating groups in the Physician Group Practice (PGP) demonstration achieved quality targets, and that the groups are sharing $16.7 million in incentive payments. The program rewards providers for improved outcomes delivered to Medicare patients with congestive heart failure, coronary artery disease, and diabetes.

This goes a long way in explaining Medicare’s seeming lack of enthusiasm for past or future disease management demos with DM companies and/or health plans.

Congratulations doctors!

UPDATE: The doctors might have batted a thousand for quality improvements, but only .400 for getting bonuses.  See  Practices hit Medicare P4P quality targets, but bonuses still fall short , AMNews; September 8, 2008.

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2 Comments

  1. annakat on August 23, 2008 at 8:51 pm

    There was a man interviewed on the news that was denied chemo treatment through medicare because his chances of surviving his cancer even with chemo were very slim. Does this have anything to do with Care Management through Medicare. Can Medicare make the call that the percentages are against a person living even with chemo and deny them treatment?



  2. Michael Eliastam on September 28, 2008 at 3:14 pm

    Well, I have been quiet for a while but must make a comment now; I hope you out there are not too surpriesd that when the doctors are managing the DM, it seems to work better? I have pointed out repeatedly that DM as curently structured cannot work because of esveral factors; the IT integration with doctors office is non existent, the abilty to find the right patients is primitive, the patients who are (incorrectly) chosen do not get much out of it so they dont stay in, the interventions are blunderbusses instead of pistols, AND the doctors are left out of it.
    I remain puzzled why Health Plans buy DM currently. And I am even more puzzled how the value proposition for DM remains that it saves money while health care costs continue to soar with scant evidence of DM doing anything useful for cost reduction or even disease reduction.
    DM vendors; give the money back!YOU resemble Wall Street!