Dr. Shah was featured in the following article from Becker’s Hospital Review.
Want to realign fee-for-service physicians to value-based care? Act on your data
Written by Morgan Haefner | June 06, 2018 | Print | Email
In a healthcare landscape where 70 percent of physicians prefer fee-for-service payment models¹, tying physician payment to outcomes requires realigning entrenched clinical processes with new value-based methods.
Actionable data is a requisite for physicians wondering why they should don a value-over-volume mindset. However, actionable data is different than aggregate patient data stored in siloed EHRs; it is retrieved from EHRs and translated across medical groups and systems. It considers care across the continuum, and connects the dots between quality augmentation and cost.
But as medical experts discussed during a workshop sponsored by Cigna® at the Becker’s Hospital Review 9th Annual Meeting in Chicago, April 11, using actionable information to change clinical behavior requires a top-down commitment to transparent cost and quality data.
Most physicians agree they have a responsibility to control costs, but more than a third don’t know the costs of tests and procedures, according to a 2016 study from The Dartmouth Institute for Health Policy and Clinical Practice. Cost obscurity challenges providers like Ritesh Shah, MD, an orthopedic surgeon at Chicago-based Illinois Bone and Joint Institute, especially as his organization began transitioning to Medicare and Cigna-administered total knee replacement bundled payment models in 2014.
IBJI spent about 4 ½ years collecting enough data to uncover how clinicians….