Is there more interest in gainsharing as a way for hospitals to engage physicians on cost management?
Yes, in part because of the momentum toward bundled payment. Gainsharing represents one potential tool that hospitals can use to figure out how to split these dollars up. If bundled payment grows, this is one of the big challenges that hospital managers are going to face. Continued pressure to control costs also is renewing interest in gainsharing. At both the hospital and the system level, the country is starting to think a lot harder about value. With the health care reform package signed, what lies ahead is greater interest in [documenting] and improving the value of health care spending. Much of the energy and effort we’ve gone through over the last year and a half has been aimed at reducing the number of uninsured. That’s going to turn up the heat on controlling costs and testing the value of our spending and I think gainsharing will be a program of natural interest because it’s aimed at doing exactly that. Hospital managers will look at gainsharing as a way to improve relationshi
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