The success of gainsharing
schemes, which have helped with the introduction of biosimilar medicines in medical practice across Europe, have themselves been aided by evidence-based discussions in a multi-stakeholder setting.
The national TWPB is an attached agency of the DOLE, and it determines minimum wages at the regional, provincial and/or industry levels and promotes productivity improvement and gainsharing
schemes, particularly among micro, small and medium enterprises.
considerations with program collaborators
physician leaders are pivotal to achieving goals associated with adopting best practices, development of co-management programs and implementing the gainsharing
opportunities offered by new reimbursement schemes such as bundled payments.
is truly a two-way street, reaping rewards for the team as well as the organization.
See Robert Coates, The New Jersey Gainsharing
Experience, Physician Exec.
78) Further clarifying its reading of the statute with respect to gainsharing
, (79) the OIG stated in 1999 that appropriately structured gainsharing
arrangements were prohibited, without regard to necessity or prudence as informed by current medical practice, even though they may provide financial benefit to the provider without an adverse impact on the quality of care.
Examine results of a New Jersey gainsharing
program and see how the cost savings used to pay the physicians were achieved.
and that's pretty typical, as we looked at the amount of work [involved] in terms of changing the model of care, setting up gainsharing
models, looking at the patient population, setting up quality measurements.
Doctors in Arkansas are about to find out what that's all about as the state's Medicaid program--along with two private insurance companies--kicks off a gainsharing
Critics say gainsharing
could provide an incentive to skimp on care.
1) Of course the threshold that physicians must meet to be eligible for gainsharing
bonuses can easily be manipulated and adjusted by a hospital-dominated PHO so as to favor the hospital, while simultaneously limiting the number of physicians who qualify for a gainsharing