Incentives and Value

Leadership Summer 2013
Download the PDF of the entire issue or scroll down and access each individual article. 


At the Forefront of Payment Reform

Collaboration and data sharing have been critical in pilots of three new payment approaches: bundled payment, episode payment, and pay for performance.  

Improving Efficiency Scores While Maintaining Quality

Medicare’s Value-Based Purchasing program steps on the accelerator, beginning Oct. 1, 2014, when it adds an efficiency score—a hospital’s spending per Medicare patient—to the formula that determines hospital pay.

Successful Physician-Hospital Alignment

Lee Memorial Health System, UnityPoint Clinic, and other providers are taking steps to align hospitals and physicians as they navigate the transition from volume to value.

Case Study

Revamping Service Line Planning

A North Carolina-based hospital redesigned its service line strategic planning process to be in sync with the annual budget cycle.


Moving the Dial with Employee and Executive Incentives

Setting clear goals and rewarding leaders and employees for meeting targets are common factors in the incentive plans developed by North Mississippi Health Services and North Shore-LIJ Health System.

Sidebar: Harnassing the Giving Incentive

Sidebar: Trends in Healthcare Executive Incentive Payments

Breakthrough Map

Betting on Bundled Payment

This Leadership infographic presents the evidence to date on bundled payment and outlines the risks involved in this new payment approach.  


Rising to the Challenge

An interview with Donald Berwick, MD

“Most doctors would rather be appealed to on the high ground about their professionalism, their missions in life, their craftsmanship, their peer relations,” says Donald Berwick, MD. 

Social Services: Prescribing the Basics of Good Health

An interview with Rebecca Onie

Health Leads is a student-run organization that recruits, trains, and supports student volunteers from Johns Hopkins University, the University of Chicago, and other schools to serve as advocates for patients and families who need help accessing resources.

Physician Recruitment with a Missionary Mindset

An interview with Benjamin Anderson

Two years ago, Ashland Health Center’s board approved a policy that allows every employee to take between four and eight weeks off work each year for mission trips or any other purpose.  


Three Ways to Get to a Better Number

By James L. Reinertsen, MD, CEO, The Reinertsen Group 

“We know the old incentive system doesn’t work,” writes Reinertsen. “But will our new set of incentives be any better?” 

Five IT Tactics of an ACO

By John D. Halamka, MD, MS, CIO, Beth Israel Deaconess Medical Center 

“We have been building an IT foundation for care management and population health for several years at Beth Israel Deaconess Medical Center,” writes Halamka.

On the Road to Value

By Todd Nelson, technical director, HFMA 

“Flexible and adaptable, committed and incented … it’s all about developing a perspective to deliver on the promise of value,” writes Nelson.

Three Ways to Incite Value

From the Editors

Last Word

Staying Motivated

Four healthcare leaders reveal how they and their teams stay inspired when the going gets tough.

Publication Date: Monday, June 10, 2013