Transcript No Slide Title

“Incentives--Win/Win/Win for
Employers/Insurers, Physicians and
Employees”
by Jeff Greene
September 17,2009
Background
• The Issue - Unaffordable healthcare that is bankrupting
us individually, our communities, our businesses and our
country
• Team – Self-insured business owner, medical practice
management expert, practicing physicians, medical
academician, health insurance executive
• The Challenge - Align the interests of the key stakeholders to produce a “win-win-win” that results in cost
containment by improving health and healthcare…
The Key to Health Care Cost Containment
No health care cost containment solution can be
sustained without balancing the interests of the
essential stakeholders...like a three-legged stool
Triangulation
Physicians
Consumers/Patients
Employers/Insurers
Alignment-of-interests™ to create a win-win-win proposition
Registered trademarks of Xerox Corp., Ford Motor Co., General Motor Corp., and Center for Medicare and Medicaid Services are used for illustrative purposes only. These organizations have no relationship with nor do they endorse MedEncentive
What We Knew…
• Patient behavior and provider performance drives most
of healthcare’s cost
• The doctor-patient relationship is special
• Existing solutions such as wellness and prevention,
information technology, and care management lack
provider and consumer engagement
• The first goal is patient medical literacy, empowerment
and motivation spurred on by the physician.
What we did...
1. Set-out to align the interest of the insurer/
employer, the physician and the patient/consumer
2. Decided to use the Internet to have insurers offer
financial rewards to “both” doctors and patients for
demonstrating to one another adherence to a
performance standard – “doctor-patient mutual
accountability”
3. Choose “information therapy” as the first performance standard
Pyramid of Health and Healthcare
Transformation
More affordable
healthcare
Improved Better
health healthcare
Ultimate Objective
Goals that support the
Ultimate Objective
Wellness and prevention
Personal health records
Smoking cessation
Rx compliance
e-prescribing Rx
Patient centered medical home
Physician directed disease mgt
Patient directed precertification Weight mgt
Health risk assessment
Wellness and
medical
interventions that
support the Goals
Adoption of health IT
Patient medical literacy Provider application of
evidence-based medicine
and empowerment
Doctor-patient interactive incentives that
achieves “mutual accountability”
Catalyst that recruits
and motivates doctors
and patients to the
interventions
If patient participation in health programs is the first step
toward healthcare cost containment, then…
Why is information therapy so important?
Medical illiteracy and poor doctor-patient
communications is a bigger problem than expected…
Northwestern and Emory Universities Research
Team Medical Literacy Study
What You Don't Understand Could Kill You
By LINDSEY TANNER – CHICAGO - July 23 2007
Plenty of evidence suggests that having trouble understanding medical information is bad
for your health. Now new research says it could even be deadly.
“Inability to understand medical information and instructions makes it hard to manage
chronic illnesses from asthma to diabetes to heart disease,” said lead author Dr. David
Baker, chief of general internal medicine at Northwestern University's Feinberg School of
Medicine. “That in turn can lead to declining health, frequent hospitalizations and
ultimately death, especially in older patients whose health may be more precarious to begin
with,” he said.
Almost 40 percent of those deemed medically illiterate died during the study, compared
with 19 percent of those who were literate. Factoring in health at the outset and other
variables, medically illiterate patients were 50 percent more likely to die than the others.
The difference in death rates "was much higher than we expected," Baker said.
Northwestern and Emory Research Team
Mortality Rate Based on Medical
Literacy
Five Year Mortality Rate
45%
40%
40%
35%
30%
25%
20%
19%
15%
10%
5%
0%
Literate
Illiterate
UCONN Reports on the Cost of Medical Illiteracy
NEW REPORT ESTIMATES COST OF LOW HEALTH LITERACY
BETWEEN $106 - $236 BILLION DOLLARS ANNUALLY
Experts discuss if improving health literacy is the solution
to providing coverage for the nation’s 47 million uninsured people
STORRS, CT– October 10, 2007 – A new report released today from the University of Connecticut
states that the cost of low health literacy to the United States economy is in the range of $106 billion to $236
billion annually. According to the report, Low Health Literacy: Implications for National Health Policy, the
savings that could be achieved by improving health literacy translates into enough funds to insure every one of the
more than 47 million persons who lacked coverage in the United States in 2006, according to recent Census
Bureau estimates.
“Health literacy” is defined as the degree to which individuals have the capacity to obtain, process and understand
basic health information. According to the U.S. Department of Education’s 2003 National Assessment of Adult
Literacy (NAAL), which contained a health literacy component for the first time, 36 percent of the adult U.S.
population – approximately 87 million people – has only Basic or Below Basic health literacy levels.
Related to health literacy - Poor doctor-patient
communications…
A battery of studies have determined:
•
•
•
•
Doctors interrupt patients within the first 23 seconds
15% of patients fully understand their doctor
50% of patients comply with doctors’ orders
Causes misdiagnosis, inferior clinical outcomes,
malpractice, and higher costs
What do the medical literacy and doctor-patient
communication studies suggest?
• Medical illiteracy and poor doctor-patient communication:
–
–
–
–
is a bigger problem than expected
is a leading cause of premature death
is a principal driver of health care cost
should be diagnosed and treated by physicians
• Physicians should be compensated for treating medical
illiteracy
• Patients should be rewarded for demonstrating medical
literacy
Design objective…
• Create the best and most efficient means for physicians
to treat medical illiteracy and poor doctor-patient
communications
• Create the best means for patients to become medically
literate and become an informed and empowered
consumer
What is MedEncentive?
A patent-pending web-based incentive system that:
•
•
•
•
•
“bolts-on” to any health plan to…
improve healthcare and health by…
rewarding both doctors and patients, interactively, to…
achieve “mutual accountability” for…
incorporating evidence-based medicine (EBM) treatment guidelines
and information therapy (Ix®)…
• all of which has been proven to control costs and align the interest of
doctors, patients and insurers/employers.
® Ix
is a registered trademark of Center for Information Therapy
Some Program basics...
• Program participation is voluntary for both doctors
and patients
• Doctors and patients can earn financial rewards
immediately for each office visit
• Physician compensation is approximately 20% more
for each office visit for additional effort and
responsibility, not for merely doing what they are
already being paid to do
• Patient financial rewards are in the form of office
co-pay rebates ranging from $10 to $30, depending
upon the employer
Doctors can practice MedEncentive
in two ways...
• Real-time while the patient is in-office or shortly
thereafter, or... $15.00 ≈ 20% of an office visit
• After-the-fact... $7.50 ≈ 10% of an office visit
• As a result normal insurance claim, MedEncentive
sends an email
• Time limits to respond
• MedEncentive also sends a fax reminder
Is the patient deprived if the doctor
fails to participate?
• Patients are not deprived of their opportunity to benefit
from the program even when their doctors fail to
participate, because…
• We use diagnoses from the office visit claim submitted by
the doctor to generate the information therapy
prescription...
The Physician Log-in Screen
Doctors earns up to 20% more for declaring adherence to
evidence-based medicine and for treating medical illiteracy
through MedEncentive’s physician website…
• Flow chart hyperlinks
allow the doctor to
review the source of
each guideline and gain
decision support
• 2 or 3 simple questions
makes this application
fast and easy to use, yet
the doctor’s answers
allow the patient to validate the doctor’s compliance to the EBM
guideline.
MedEncentive’s “anti-cookbook medicine” feature is key
to physician acceptance ...
• By simply selecting a
reason for non-adherence to a guideline that
is shared with the
patient, the Program
allows and encourages
doctors to deviate from
a guideline each time it
is appropriate. And the
doctor still earns up to
20% more.
The physician’s website response triggers a patient
“information therapy” prescription letter…
• Letter suggests alternative web access
options so all patients can participate.
• Log-on instructions with the URL and
User ID/Password helps insure privacy.
• Allows patients a 2-week timeframe to
complete instructional course.
• Offers patient a financial incentive to
participate in the Program that can be
customized to each employer and/or
particular health promotion.
• Ix letter is initially sent by mail, but after
first prescription, patient can elect to
have future prescriptions sent
electronically.
Patients are educated with the same guideline content
as their doctor - specific to their diagnosis…
MedEncentive’s patient website provides:
•Medical information in
easy-to-understand
language (6th to 8th
grade reading level)
•Patients are required
to read and answer a
series of questions in
each section to earn
their financial reward.
The patient questionnaires create powerful behavior
shaping “checks and balances” to the physician’s input
and vice-versa when…
•The patient demonstrates medical
literacy…
•The patient records
health status…
•The patient declares
compliance to EBM…
•The patient agrees to
have responses sent
to the physician, thus
creating a powerful
compliance motivator
Example of patient health literacy test...
Incorrect answer directs patient to re-read information
The patient is also asked to rate the doctor’s
performance against the recommended care, which
creates an even greater “check and balance”…
•The patient must demonstrate
medical literacy of the
recommended care before
rating the doctor…
•Individual patient ratings do
not directly impact the doctor.
Only aggregate patient ratings
are used to measure physician
performance. Doctors consider
this method of quality rating to
be much fairer and more
appropriate than ratings by
insurance companies or the
government using claims data
or other controversial criteria.
Timely completion of “information therapy” results in
immediate financial reward to patients for compliance
• MedEncentive
triggers an automatic
transaction notifying
the TPA to generate a
patient payment
• The voucher serves
3/8/2008
as another co-branding opportunity and a
vehicle for other
patient communications
What is coming in the near future?
MedEncentive will recruit doctors and patients to these
health programs and inspire mutual accountability…
e-Prescribing and
Patient Rx Compliance
Personal Health
Records Adoption
Patientcentric
Health
Home
Pre-certification
Purchase/Payer +
MedEncentive = ROI
Disease
Mgt
Provider + MedEncentive =
Treatment Tools and More $
Patient + MedEncentive =
Empowerment, $ and Health
Hospital Care Mgt
Wellness and Prevention
(health risk assessments,
screenings, fitness, smoking
cessation, etc)
“Success Acknowledgment” – An important final step
Congratulations for completing your information therapy prescription! You are now eligible
to earn an additional $ xx.xx when you update
your personal health record and have your
doctor acknowledge your health accomplishments, for which he/she will also be paid.
We call this process “Success Acknowledgment.” It is
simple, yet very important. Studies indicate that when
patients inform their doctors of their health successes and
doctors acknowledge these successes, better health and
healthcare will occur.
Click “Next” to learn how Success Acknowledgment works.
Next
Exit
• Success Acknowledgment creates
another important
check and balance that is designed to achieve
mutual accountability between
the doctor and the
patient.
Integrating a personal health record (PHR) to Success
Acknowledgment...
An actual example of integrating a commercial PHR...
An actual linkage of MedEncentive to a commercial PHR...
Actual PHR test import...
An example of integrating a commercial PHR to a physician
electronic health record (EHR) systems...
An example of integrating a commercial PHR with Success
Acknowledgment...
How Success Acknowledgment Works…
Success Acknowledgment, how it works…
When your doctor acknowledges your accomplishments on the
MedEncentive website, then both you and your doctor will earn an additional financial reward. Your doctor will have 15 days to respond to
our notification before this opportunity expires. You will be notified by
email the moment your doctor responds.
If we do not hear from your doctor within 5 days, then we will notify you
by email or telephone so you can call your doctor to request a response.
This is voluntary for both you and your doctor, but your doctor must acknowledge your success for both of you to earn the financial rewards.
That’s all there is to it…
Click next to see the list of health objectives you have accomplished that
are pending your doctor’s acknowledgment.
Next
Exit
•The objective of
Success Acknowledgment is to use
financial incentives
and the Internet to
motivate both doctors and patients to
encourage and
challenged each
other to do better.
•This specific reward is contingent
while other
MedEncentive
rewards may not
be.
How Success Acknowledgment Works…
Here are your completed health objectives that are pending your
doctor’s acknowledgment…
• Demonstrated knowledge of: How to Live with Hypertension and declared
adherence to the recommendations in this article
• Refilled your prescription for: Lipitor on: July 14, 2009
• Passed a drug literacy test for and declared adherence to taking: Lipitor on:
July 14, 2009
• Enrolled in a smoking cessation program on: June 14, 2009
• Completed a health risk assessment and followed-up on the findings with
Beverly Jones, M.D. on: June 7, 2009
• Had a consultation visit with Tom Smith, M.D. about back pain on: June 9,
2009
• Completed SilverSneaker® sessions 9 times in: June 2009
• Completed SilverSneaker® sessions 14 times in: July 2009
• Executed a living will on: July 14, 2009
• Completed obesity tasks assigned by my Healthways® Care Support coach
on: July 20, 2009
• Updated my personal health record on: July 31, 2009
Next
Exit
•The first health
objective is currently available for
acknowledgment
• The remaining
health objectives
are a sampling of
potential future additions
The Value Proposition
Once the doctor acknowledges the patient’s health
accomplishments through the MedEncentive web
portable, then MedEncentive will authenticate the
transactions and transmit financial reward approvals to
the health plan for both the patient and their doctor,
for both the Information Therapy Program and the
Success Acknowledgment Program.
The Value Proposition
Why two separate financial rewards?
• The Information Therapy reward is made to the doctor and the patient
independently. In other words, the doctor’s opportunity to earn his/her
reward is not dependent on the patient’s participation and vice versa.
• The Success Acknowledgment reward is made to the patient and the doctor
only when the doctor performs the simple task of acknowledgment.
Obviously, we want both parties to earn both rewards. However,
patients should not be deprived of being rewarded for
completing information therapy simply because their doctors
fail to acknowledge the patient’s health accomplishments.
Health literacy is simply too important. Plus, patients will switch
doctors if a doctor’s failure to acknowledge patient health
accomplishments becomes an issue...
A “Win” for Employers:
Case Study - Duncan, OK
Trouble in Duncan
• Skyrocketing health care costs
• Union contract negotiations
• Tax revenues were not increasing
• Medical providers unwilling to reduce compensation
• Needed to contain health care costs while
improving care
• Other cost-control efforts not working
What We Did in Duncan
• Implemented quickly (within 30 days)
• Simple “bolt-on” to existing health plan
• Issued employee information kits
• Distributed doctors education materials
• Plan administrator sent daily claims data
• Mailed incentive payments…fast
What We Did in Duncan
Distributed Kits to
employees made
orientation and
start-up quick and
easy
Four Year Results: Rewarding Better Care, Patient
Education and Compliance Lowers Cost
$2,000,000
$1,800,000
$1,600,000
$1,400,000
$1,200,000
$1,000,000
$800,000
$600,000
Total Investment
$181,227
Four Year Savings
vs. Projection
$1,834,212
$400,000
$200,000
$-
Four year program investment vs. “all-in” absolute claims cost = 9:1 ROI
Four Year Results: Rewarding Better Care, Patient
Education and Compliance Lowers Cost
$2,000,000
$1,800,000
$1,600,000
$1,400,000
$1,200,000
Total Investment
$181,227
$800,000
Four Year Savings
vs. Projection
$600,000
$1,612,985
$1,000,000
$400,000
$200,000
$-
Four year program investment vs. “all-in” claims cost = 8:1 ROI
Based on per Member per Year (“PMPY) data
4 years of cumulative absolute cost savings
validates MedEncentive impact on costs
City of Duncan
Actual Net Charges for Last 5 Years Plus Projections w/o MedEncentive
2,500,000
* Projections based on average rate
of healthcare inflation for each year
753,220
2,000,000
705,923
4 year average since implementing MedEncentive = 1,729.287
659,741
894,095
614,284
1,500,000
558,440
893,672
414,048
522,304
1,000,000
1,328,375
1,207,613
1,206,744
1,068,235
500,000
1,628,820
1,526,542
1,426,674
1,043,818
874,235
0
Baseline
Year
1st Year
2nd Year
Non-Catastrophic Costs
3rd Year
Catastrophic Costs
Based on absolute costs
4th Year
•The 4 year average
of “all-in” claims cost
since implementing
MedEncentive is 2.1%
less than the baseline
year.
4 years of cumulative absolute cost savings
validates MedEncentive impact on costs
City of Duncan
Actual Net Charges for Last 5 Years Plus Projections w/o MedEncentive
2,500,000
* Projections based on average rate
of healthcare inflation for each year
753,220
2,000,000
705,923
659,741
894,095
614,284
1,500,000
•The 4 year average
of “all-in” claims cost
since implementing
MedEncentive is 2.1%
less than the baseline
year.
558,440
893,672
414,048
522,304
1,000,000
1,328,375
1,207,613
1,206,744
1,068,235
500,000
1,628,820
1,526,542
1,426,674
1,043,818
874,235
0
Baseline
Year
1st Year
2nd Year
Non-Catastrophic Costs
3rd Year
Catastrophic Costs
Based on absolute costs
4th Year
•The 4 year “all-in”
claims cost since
implementing
MedEncentive is
20.0% less than
expected costs using
average healthcare
inflation.
MedEncentive’s office-based solution used in Duncan is most
effective at controlling the underlying non-catastrophic costs
City of Duncan
Actual Net Charges for Last 5 Years Plus Projections w/o MedEncentive
2,500,000
* Projections based on average rate
of healthcare inflation for each year
753,220
2,000,000
705,923
659,741
894,095
614,284
1,500,000
558,440
893,672
414,048
522,304
4 year average since implementing MedEncentive = 1,048.258
1,000,000
1,328,375
1,207,613
1,206,744
1,068,235
500,000
1,628,820
1,526,542
1,426,674
1,043,818
874,235
0
Baseline
Year
1st Year
2nd Year
Non-Catastrophic Costs
3rd Year
Catastrophic Costs
Based on absolute costs
4th Year
•The 4 year average
of non-catastrophic
claims cost since
implementing
MedEncentive is
13.2% less than the
baseline year.
MedEncentive’s office-based solution used in Duncan is most
effective at controlling the underlying non-catastrophic costs
City of Duncan
Actual Net Charges for Last 5 Years Plus Projections w/o MedEncentive
2,500,000
* Projections based on average rate
of healthcare inflation for each year
753,220
2,000,000
705,923
659,741
894,095
614,284
1,500,000
558,440
893,672
414,048
522,304
1,000,000
1,328,375
1,207,613
1,206,744
1,068,235
500,000
1,628,820
1,526,542
1,426,674
1,043,818
874,235
0
Baseline
Year
1st Year
2nd Year
Non-Catastrophic Costs
3rd Year
Catastrophic Costs
Based on absolute costs
4th Year
•The 4 year average
of non-catastrophic
claims cost since
implementing
MedEncentive is
13.2% less than the
baseline year.
•The 4 year noncatastrophic claims
cost since implementing
MedEncentive is
29.3% less than
expected costs using
average healthcare
inflation.
A “Win” for Everyone
“We save money and everyone loves it.”
Clyde Shaw, City Manager, City of Duncan
“If I hadn’t read my husband’s information therapy about a dangerous
side effect of medication, my husband might not be here today.”
Triangulation
Betty E., Duncan, OK
“MedEncentive is easy and quick to use... I think it serves as a good
second opinion for me and provides valuable information to my
patients. And to top it off, the program increases my reimbursement
and my patients are very motivated to get their co-pays back.“
Todd Clapp, M.D., Internal Medicine and Pediatrics, INTEGRIS Health
Results from MedEncentive’s expanded trials...
What we have learned through the year ending 6/30/2009
from 7 separate installations representing approximately
7,000 covered lives in Oklahoma, Kansas and Washington:
– 5 of the 7 installations have demonstrated or are reporting cost
savings after implementing MedEncentive (the remaining 2 are
indeterminate).
– Patient/member participation rates above 55% consistently
produced cost savings.
– The overall annual patient/member participation rate in the
Program for the year was 61.3%.
– From the trial data, financial rewards less than $15 are
inadequate to achieve patient/member participation rates
sufficient to bend the cost curve.
Results from MedEncentive’s expanded trials...
To measure the efficacy of the information therapy delivered
through the Program, all patients are required to answer the
following question:
“On a scale of 1 to 5, how helpful has this information
been to you in self-managing your health (5 being most
helpful)?”
• The aggregate score of the 13,673 responses was 4.07.
• In addition, patients are asked to voluntarily comment on the
Program. 1,194 patient/members offered comments out of 3,603
patient/member participants (33.1% response rate).
The volume and quality of these responses coupled with the
aggregate benefit score present a strong case for the clinical and
economic efficacy of information therapy.
Results from MedEncentive’s expanded trials...
The Program passes the ease of installation and
scalability tests...
The Lourdes Health Network Story...
What Makes MedEncentive
So Effective?
• The process of “Declare and Confirm” or “Demonstrate
and Acknowledge” between doctors and patients invokes
powerful behavioral science:
• Studies show that patients don’t want their doctors to
think they are medically illiterate and non-compliant…
• Conversely, doctors don’t want patients to think they
practice sub-standard care…
• MedEncentive taps into the doctor-patient relationship to
cause “mutual accountability” that leads to better health
and lower costs.
Studies that support the MedEncentive design...
Healthcare Cost Factor
Estimated Annual Cost
Patient Health Illiteracy
$106B to $238B5
Poor Doctor-Patient Communication
No Data Available
Low Participation in Employer Sponsored
Wellness and Prevention Programs
No Data Available
Provider Non-Adherence to EvidenceBased Medicine
Defensive Medicine
$630B19
$105B to $189B21
Obesity
$147B4
Patient Medication Non-Adherence
$290B20
Total Potential Savings
$1,278B to $1,494B
A “Win” for Physicians
“The employees think it’s (MedEncentive) a very good
concept, and the primary care physicians find it easy to
use and applicable to what they’re doing. As a
physician, I’m enamored with it because it enhances
the communication between the doctor and patient…”
Robert Kenagy, M.D.
Chief Medical Officer
Wichita Clinic
Quote from Employer Benefit Adviser Magazine
A “Win” for Physicians
Why physicians like MedEncentive...
• It’s good for the doctor’s patients
• It pays physicians well
• It’s fast, easy and flexible for doctors to use
• It’s anti-cookbook
• It can reduce medical malpractice risk
A “Win” for Physicians
Provides physician protection from frivolous lawsuits
• Has agreed to offer its best (lowest) pricing to physicians
who participate in the MedEncentive Program...
• Has agreed to grant physicians who participate in
MedEncentive’s demonstrations free coverage during the
3 year evaluations...
A “Win” for Physicians
Endorsements and partnerships
•
•
•
•
•
•
The IPA Association of America (TIPAAA)
Oklahoma Academy of Family Physicians
Wichita Clinic
Northern New Jersey IPA
Duncan Physician Association
Plus many more pending…
A “Win” For Patients
MedEncentive is patient centric…
• Educates, empowers and motivates…
• Strengthens patients’ relationship with their
doctors…
• Rewards patients for taking responsibility for their
health...
• Patients really like it.
If patient participation in health programs is the first step to
cost containment, how does MedEncentive compare…
MedEncentive Participation Rate
A “Win” for Employers/Insurers
“We are excited about adding the MedEncentive
program as both a health benefit improvement for our
employees and an effective health care cost
containment tool. The MedEncentive program will
assist in our efforts to attract and retain quality
employees while helping us improve their health and
well-being.”
Gary L. Paxton
President and CEO
Dollar Thrifty Automotive Group, Inc.
A Dollar Thrifty/Wilson Partners/UnitedHealthcare/
MedEncentive Collaboration
A UnitedHealthcare
health plan member
ID card…
…for Dollar Thrifty
Automotive Group
employees…
…with MedEncentive
bolted-on
What have we learned?
• Our solution saves money
• Doctor-patient mutual accountability is a powerful process
• Financial incentives are necessary to invoke mutual
accountability
• Information therapy is very powerful medicine if delivered
correctly
• MedEncentive leapfrogs the issues that have plagued the
pay-for-performance movement
• If we want affordable, accessible and high quality
healthcare, we must align the interests of the insurer,
physician and consumer, and our solution accomplishes
this…
Pyramid of Health and Healthcare
Transformation
More affordable
healthcare
Improved Better
health healthcare
Ultimate Objective
Goals that support the
Ultimate Objective
Wellness and prevention
Personal health records
Smoking cessation
Rx compliance
e-prescribing Rx
Patient centered medical home
Physician directed disease mgt
Patient directed precertification Weight mgt
Health risk assessment
Wellness and
medical
interventions that
support the Goals
Adoption of health IT
Patient medical literacy Provider application of
evidence-based medicine
and empowerment
Doctor-patient interactive incentives that
achieves “mutual accountability”
Catalyst that recruits
and motivates doctors
and patients to the
interventions
What value does MedEncentive offer or what purpose
does it serve going forward?
Leonard Schaeffer, former CEO and Chairman of WellpointAnthem said in an interview with McKinsey:
“We insurers can see the opportunities, but when we offer
solutions we're at a disadvantage relative to some third
parties. For one thing, many doctors don't trust us.”
“Unfortunately, insurance companies aren't seen (by doctors)
as sources of accurate, timely, and unbiased information,
so most likely we'll see third-party ‘infomediaries’
emerging that will gather and correlate industry data.”
Key points…
1. We must “triangulate”
the interests of the payer, physician and consumer to
achieve sustained cost containment.
2. Using “interactive incentives” to achieve “doctorpatient mutual accountability” is the most efficient
and effective way to control costs through better health
and healthcare.
3. If we are not improving “patient health literacy” we
are not controlling costs. Compensating doctors to
prescribe “information therapy” and administer
literacy tests, plus rewarding patients for demonstrating their literacy to their doctors is the best way to
accomplish this priority.
MedEncentive’s Independent
Evaluation Demonstration Finalists
Michigan
Kansas
Louisiana
Engages and rewards physicians
Educates, empowers and motivates patients
Enriches employer/insurers
Easy to use and implement
Collaborates with other solutions
Effectively and efficiently controls costs
Everyone benefits
Q&A
Jeff Greene
[email protected]
405-319-8450
www.medencentive.com