A bad co-management agreement can violate federal and state laws that prohibit bribes and other types of rewards between hospitals and doctors. One of the important things to remember in a co-management agreement is the need for the base fee and incentive fee to be based on „fair market value“. In addition, compensation cannot vary depending on the number or volume of patients seen by the group of doctors or the number of transfers made by the group to the hospital for services. On the contrary, the objective of the co-management agreement must clearly be to improve quality. Finally, by necessity, these agreements are often of limited duration. quality objectives and benchmarks are constantly evolving and evolving; Therefore, measures and results need to be constantly revised. Many organizations refer to HHS Office of Inspector General Opinion No. 12-22 as a model for developing a law-compliant agreement. A co-management agreement is an increasingly popular model of integration in which hospitals and doctors jointly manage a health system. Co-management agreements are largely aimed at encouraging physicians to cooperate with hospitals to improve overall efficiency and quality, moving towards payment models that promote better clinical outcomes. As part of a co-management agreement, doctors and hospitals agree that doctors jointly manage an entire hospital service line, such as.B. anesthesia services.
Under this type of management structure, physicians have a financial incentive to achieve quality results. A portion of the physician`s compensation is „performance-based,“ which requires the group of physicians to meet certain standards to obtain full compensation. Due to the growing popularity of this type of practice contract, it is important for physicians to learn more about these co-management agreements. As part of a typical co-management agreement, a hospital will contract with medical specialists such as anaesthetists to supervise and manage an entire line of hospital service. The co-management agreement usually consists of two parts. There is a „basic fee“, a fixed payment that is made at regular intervals and compensates the group of doctors for the basic daily costs of managing, monitoring and improving the service line. In addition to the basic fee, there is an incitive fee. This fee is not guaranteed, but is granted only if the quality objectives set for the service line concerned are met. This is where the incentive for the performance of the medical group lies. If the group of physicians achieves the performance targets, it receives the incitive fee in addition to the basic fee.
In this way, the co-management agreement encourages physicians to adhere to quality standards and patient outcome markers rather than promoting volume-based practice. A co-management agreement can be a beneficial change in the practice of specialists such as anesthesiologists. A well-written co-management agreement will clarify the rights and obligations of physicians and the hospital so that all parties are informed in advance of their role in the integrated model. Anaesthetists are an integral part of the operation of the hospital.