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10 August 2009 | American Medical News

“At the annual meeting of America’s Health Insurance Plans, held in San Diego in June…were…firms vying to sell health plans the perfect care-management tool.

“All promised a means to gently, effectively use physicians to change patient behavior in a way that doesn’t alienate either the patient or physician, and results in savings for the insurer.

“Some vendors, such as Emeryville, Calif.-based MedeAnalytics, offer software packages for hospitals and health plans…

“Proponents say that under a health plan's care-management system integrated into its existing portal, doctors would be prompted at the time of care to follow pay-for-performance guidelines. Tracking success would be simpler, and the clinical rationale for the pay-for-performance incentives would be delivered to the doctor at the time of care. ‘As annoying as pay-for-performance can be, physicians know it's coming, so the more opportunity they can have to get access to data [that supports payments], the better,’ said Terry Fouts, MD, chief medical officer for MedeAnalytics.”

Source: “’Gently managed’ care (America’s Health Insurance Plans annual meeting),” AMNews, Aug. 10, 2009, http://www.ama-assn.org/amednews/2009/08/10/bisa0810.htm.

“As annoying as pay-for-performance can be, physicians know it's coming, so the more opportunity they can have to get access to data [that supports payments], the better.”

Terry Fouts, MD

Chief Medical Officer
MedeAnalytics