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Clinical Co-Management Agreements Offer Opportunity for Physician Alignment
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Clinical Co-Management Agreements Offer Opportunity for Physician Alignment

11.11.15

Clinical co-management agreements offer an opportunity to align the interests of hospitals and practicing physicians in order to achieve better clinical outcomes and patient satisfaction. Most commonly, these agreements are contracts between hospitals and a physician-owned entity to engage physicians as business partners in overseeing and managing a service line or a department.  

Common characteristics of clinical co-management agreements include:

 

Common Structure for Clinical Co-Management Arrangements

 

Quality improvement is a main goal in these arrangements. Physicians are rewarded with incentive bonuses for reaching certain quality measures and benchmarks, and hospitals see higher reimbursements under the pay-for-performance model and patients receive better care. Typical co-management quality improvement measures include:

An OIG Advisory Opinion issued December 31, 2012 provides the basic parameters for co-management agreements that are acceptable from a regulatory perspective:



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