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A case study: the volume-based incentive plan at a department of UPMC

Chen, Kexin (2019) A case study: the volume-based incentive plan at a department of UPMC. Master Essay, University of Pittsburgh.

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This is a challenging time for hospitals and physicians. Externally, reimbursement systems are changing rapidly: both public- and private-sector payers are shifting the reimbursement models to emphasize value over volume. Internally, physician burnout is an issue: almost half of physicians experience at least one symptom of burnout. At this point, choosing an incentive plan that motivates physicians and attracts physicians may facilitate to address the challenges.
This essay presents an analysis of the volume-based clinical incentive plan of a medical specialty department at the University of Pittsburgh Medical Center (UPMC), the largest medical center in Western Pennsylvania. The incentive plan implemented by the department is clear and according to the department administrator, works well financially. This essay explains in detail the allocation of incentive funding, metrics and calculations of incentives, evaluates how well the plan realizes its two goals of aligning physicians with the strategies of the department as well as attracting and retaining physicians, and provides recommendations to the department.
Public Health Significance
As physicians are the foundation of patient care, it is necessary for a health care organization to try its best to decrease the risk of physician burnout. A health care organization must satisfy physicians’ mental, physical and social needs to ensure the quality of care in the long run. This essay provides recommendations for the department to improve physician satisfaction and gradually develop a value-based incentive plan. By presenting and analyzing an effective and simple incentive plan, this essay provides information and ideas to organizations about which incentive plans can work.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Chen, Kexinkec181@pitt.edukec181
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairBarron, Geraldgbarron@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberTerry, Marthamaterry@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberEaly, Margaretealyml@upmc.eduUNSPECIFIEDUNSPECIFIED
Date: 13 August 2019
Date Type: Submission
Number of Pages: 44
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Health Policy & Management
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 28 Sep 2019 23:23
Last Modified: 28 Sep 2019 23:27


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