Presenter: Bruce Nash, MD, MBA, senior VP of medical affairs and CMO for Capital District Physicians' Health Plan Inc. (CDPHP)
With the dual goal of improving the value of healthcare and enhancing the compensation to primary care physicians, CDPHP, a network model health plan, launched a two-phase pilot in 2008 to reform both the practice of primary care in its network and the payment to these physicians.
This medical home project, which started with three practices in Phase One, is expanding this year in Phase Two to include 21 additional practices. Practices receive an incentive for practice transformation and are eligible for additional reimbursement for meeting quality and efficiency targets.
During this 45-minute webinar, Dr. Bruce Nash, described how CDPHP met the challenge of developing a novel risk adjustment methodology that would drive a global payment combined with a significant bonus structure to attract physician participation and encourage future growth by medical students to enter primary care.
Listen to Dr. Nash's pre-session comments:
One aspect sets the CDPHP program apart from other medical home pilots.
Bruce D. Nash, MD, MBA, joined Capital District Physiciansí Health Plan, Inc. (CDPHP) in July 2007 as senior vice president, medical affairs, and chief medical officer. Dr. Nash has devoted more than 20 years to health plan management and clinical practice. He is responsible for the strategic direction, development, and operation of medical management, quality improvement, and resource management initiatives at CDPHP.
In recent years, Dr. Nash served as president, North Adams Regional Hospital; vice president, medical affairs, Northern Berkshire Health System; and he had a 19-year tenure with Community Health Plan and Kaiser Permanente in Latham, N.Y., and Oakland, Calif.
Dr. Nash is a fellow with the American Academy of Family Practice and the American College of Healthcare Executives, and is certified by the American Board of Family Practice. He is a member of the American College of Healthcare Executives, American College of Physician Executives, and the American Academy of Family Practice. He also serves as medical director committee chair for the Alliance of Community Health Plans (ACHP).
Dr. Nash earned a masterís of business administration in health sector management from the Fuqua School of Business of Duke University; a medical degree from Albany Medical College; and a bachelorís of science degree in biology from Rensselaer Polytechnic Institute (RPI), Troy, N.Y. He completed his medical residency in family practice at Duke University, and remains a clinical assistant professor at Albany Medical College.