1. Legal and Operational Issues for Academic Medical Centers
Pay for Performance
William D. Darling, Esq.
Strasburger & Price, LLP
600 Congress Avenue, Suite 1600
Austin, Texas 78701
(512)
PFP--PPT

2. Legal and Operational Issues for Academic Medical Centers
AMCs must navigate regulatory and operational challenges in structuring their participation in P4P.
This presentation will review these regulatory and operational challenges.

3. Legal and Operational Issues for Academic Medical Centers
Navigating these regulatory and operational challenges is as important to the success of a P4P system as the more recognizable P4P issues such as:
Adoption of valid clinical indicators
Development of scorecards
Coordination of episodes of care
Reimbursement methodologies

4. ACADEMIC MEDICAL CENTER ORGANIZATIONAL SCHEME Single Entity AMC
AMC Organization
EMPLOYED PHYSICIAN
SERVICES
DEPARTMENTS
Radiology
Surgery
Pediatrics
Orthopedic Surgery
Urology
Primary Care
Cardiology
HOSPITAL
SERVICES
IN PATIENT
OUT PATIENT
Outside
Payors
AMC-
Owned
HMO
Payor
Payor
Contract
Contract

5. ACADEMIC MEDICAL CENTER ORGANIZATIONAL SCHEME Joint Contracting
Foundation
Faculty Practice Plan
Radiology
Surgery
Pediatrics
Orthopedic Surgery
Urology
Family Practice
Academic Hospital
In Patient
Out Patient
Medical School
Paid Physician
Faculty
Affiliation
Affiliation
Agreement
Agreement
Payor
Payor
Imaging
Center
AMC Sponsored
Contracting
Organization
Payors

6. Legal and Operational Issues for Academic Medical Centers
Pay for Performance
William D. Darling, Esq.
Strasburger & Price, LLP
600 Congress Avenue, Suite 1600
Austin, Texas 78701
(512)