Interviewee:
Michael Brant-Zawadzki, MD, FACR
Senior Physician Executive for Hoag Hospital, Newport Beach
Purpose for selecting interviewee: Dr. Brant-Zawadzki has been working as an executive medical director of the Neuroscience Institute for ten years and has been the hospitals senior physician executive for the past four years. Dr. Brant-Zawadzki has conducted various presentations on the Affordable Care Act and its impact on physicians. He’s also authored or co-authored several papers outlining the strategies for hospitals to integrate in order to attest to the triple aim. Lastly, he oversees physician contractual development at Hoag Hospital.
Question: Shared savings typically, incentivize providers to reduce spending for a defined…show more content… Will this hurt specific departments more than others that function mainly on diagnostic procedures? What from an organizational standpoint have we done to mitigate the perceived potential loss in revenue with regard to procedures?
Question: Medicare already pays hospitals a bundled payment for the hospital's portion of a patient’s health care bill. With the increase in baby boomers entering the Medicare age were likely to see an increase in the need for health care services across the board. In the transformation of the care delivery model do you believe organizing instead of around practice specialization but, around the patient or disease states? What effect might this have on desired physician autonomy?
Question: CMS’s most analogous physician experience stems from its physician group practice demonstration, which involved ten extremely large and sophisticated practices taking on financial risk for their patient populations. The experience is much more generalizable to accountable care organizations then to physicians’ targeted by the value base payment modifier. In becoming engaged in reporting quality and cost performance what challenges have you observed with both large and small physician groups? What is the difference, if
