Contracts Update
Click here to view chart
The BWPO is in the process of re-negotiating all of its risk contracts. All prior full risk capitation contracts have expired, and are being replaced by “pay for performance” arrangements. In these new contracts, between five and ten percent of professional fees are withheld by the insurer and returned based on specific performance criteria as outlined below. These contracts cover patients who have a BWPO Primary Care Physician (PCP) and are insured by HMO Blue, Harvard Pilgrim Health Care (HPHC) or Tufts Associated Health Plans, Inc. (TAHP). Below is a brief summary of the 2003 Baseline Performance, 2004 Performance Targets and the estimated funds at risk.
If you have any questions, contact Andrew Sussman, MD, MBA or Karen Sax McLoughlin.