Hello. My name is Jeff Thompson. I am a retired internist and occ med physician who has been in health care 50 yrs. I have worked in public, academic, and private sectors. For the last 20 yrs I have helped health system and employers direct contract (aka value based contracting). I am working on a blog related to the US’ use of RVUs, CPT, HCPCS, and coding promotes volume vs value. I note that Europe uses country specific ICD10 and DRG coding with regional capitation payments. There is not much I can glean on how compensation is set at the MD level. This book will be a chapter in my book on “How to Direct Contract.” I would like to have a conversation on volume vs value, how to compensate for better access, service, quality, through coding and the use of clinical outcomes data. The OHDSI work on systematically capturing observational data is amazing. As a recovering researcher/administrator we need to connect cost and care. Thank you for any consideration on this topic. Dr Jeff
Can you define your RVU term?
I argued for having a concept for capitation payment (used in Czechia). What countries use capitation and how (please comment here). In Czechia, the capitation is monthly payment for registered patient to primary care physician. But some services can still be billed as fee for service.
Direct contract seems to me specific to US.
In Canada or EU, who would initiate it with whom for what? (it is on gov level)
(in US, I can see US employer or insurer (KP?) with IDN entity (delivery network)?