RE: cost data

[Guest guest]

I think you should calculate yourself. THere is national data from MGMA etc, but I don't know of any for us. I tried to collect this data and create a report for us acouple years ago, but no one wanted to give me their data.

Ours, for total cost/patient is about $50 per visit.

From: [ ] On Behalf Of [jnantonucci@...]

Sent: Monday, January 16, 2012 4:32 AM

To:

Subject: cost data

Do any of you have cost data- from an IPA or a payor , on how much it costs you to provide care? esp .compared to your peers ?Or ER use. hosp readmit data?

thanks

Jean

--

MD

ph fax

[Guest guest]

oops  Thanks Jim for  making me realize I asked the  wrong  question I am looking for  data from a payor  about their panels  pharmacy/ER/hospital use  cost to payor Cost per patietn per month or yr throughout the system  Good primay care costs less( Iknow I know   measuirng one small panel doesn;t count etcetc but stil wondering)

I have some  data from medicaid This stuff is hard to get  I thought some folks might  if in an IPA or soemthing know if their panels costs more or less than  average. that sort of thing.We all have  sort of proxy cost data if using HowsYourHealth and  seeing if people stay out  of ERs but actual cost data would be good to have

Brady and I are talking at the IHI office practice summit in Dc in March about small practice work.... so....just thinkin'Jean

 

I think you should calculate yourself. THere is national data from MGMA etc, but I don't know of any for us. I tried to collect this data and create a report for us acouple years ago, but no one wanted to give me their data.

Ours, for total cost/patient is about $50 per visit.

 

From: [ ] On Behalf Of [jnantonucci@...]

Sent: Monday, January 16, 2012 4:32 AM

To:

Subject: cost data

 

Do  any of you have cost data- from an IPA or a payor , on  how much it costs you to provide care? esp .compared to your peers ?Or ER use. hosp readmit data?

thanks

Jean

--

     MD

    

    

ph    fax

--      MD          ph    fax

[Guest guest]

and I have some data from BCBS of Illinois. They aggregated the data into something they call a MEG.

Data is questionable, because they are allowed to aggregate any and all data more than once and from different providers. Example I see patient all year for small amount, but cardiologist changes pacemaker. The result is all the CHF from afib costs are attributed to me because I have more frequent and numerous visits for AFIb. If i simply changes my code to warts, the cost would flow to the cardiologist's report because i never saw the patient for CHF related AFIB.

PS I can share more specific numbers with you if you need.

PSS BCBS happy to spend $70,000/year on our patient's outp[atient labs with local hospital, because they collect managment fee on the chasrges. I tried to negotiate a clia waived chemistry analyzer for $14,000 as a one time expense. They would have saved $20,000/year. They declined. I would only make $3/test at $13 reimbursement. It would take me 4000 test to break even. We only do 2-400 CMP or BMP tests per year.

Follow the money. BCBS has it and they always keep it. Each year the patients pay a higher percentage our office care.

I think you should calculate yourself. THere is national data from MGMA etc, but I don't know of any for us. I tried to collect this data and create a report for us acouple years ago, but no one wanted to give me their data.

Ours, for total cost/patient is about $50 per visit.

From: [ ] On Behalf Of [jnantonucci@...]Sent: Monday, January 16, 2012 4:32 AMTo: Subject: cost data

Do any of you have cost data- from an IPA or a payor , on how much it costs you to provide care? esp .compared to your peers ?Or ER use. hosp readmit data?

thanks

Jean

-- MD ph fax

-- MD ph fax

[Guest guest]

Thanks right that  may make it messy data .Hmm. BUt  do you have anything that compares  you to non imps in your area Anything that you think MIGHT suport your approach to care?   Egly  I would like to thank you I never see you and barely know you but you are responsible for two good things

1 your dollar a day idea has me getting capitated on that basis from a payer here.2 Telling me about the CKD study ( I believe you nagged me) will keep me financially solvent for another month  MY practice is dead right now; and CKD will get  me  $5400.00. I go through this dead stuff periodically but it stresses the heck out of me Ther e is alot of Primary care here and  low payors

 I am glad to know you  This work is hard I am always struggling I did however have the best financial yr  2011 that I have  had as an IMP,taking home 14,800 more than 2010   Doesn;t look good for  2012 though

 thank youJean

 

 

and I have some data from BCBS of Illinois.  They aggregated the data into something they call a MEG. 

 

Data is questionable, because they are allowed to aggregate any and all data more than once and from different providers.  Example I see patient all year for small amount, but cardiologist changes pacemaker.  The result is all the CHF from afib costs are attributed to me because I have more frequent and numerous visits for AFIb.  If i simply changes my code to warts, the cost would flow to the cardiologist's report because i never saw the patient for CHF related AFIB.

 

 

PS I can share more specific numbers with you if you need.

 

PSS BCBS happy to spend $70,000/year on our patient's outp[atient labs with local hospital, because they collect managment fee on the chasrges.  I tried to negotiate a clia waived chemistry analyzer for $14,000 as a one time expense.  They would have saved $20,000/year.  They declined.  I would only make $3/test at $13 reimbursement.  It would take me 4000 test to break even.  We only do 2-400 CMP or BMP tests per year. 

 

Follow the money. BCBS has it and they always keep it.  Each year the patients pay a higher percentage our office care.

 

 

I think you should calculate yourself. THere is national data from MGMA etc, but I don't know of any for us. I tried to collect this data and create a report for us acouple years ago, but no one wanted to give me their data.

Ours, for total cost/patient is about $50 per visit.

 

From: [ ] On Behalf Of [jnantonucci@...]

Sent: Monday, January 16, 2012 4:32 AMTo: Subject: cost data

 

Do  any of you have cost data- from an IPA or a payor , on  how much it costs you to provide care? esp .compared to your peers ?Or ER use. hosp readmit data?

thanks

Jean

--      MD          ph    fax

--      MD          ph    fax

--      MD          ph    fax