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About the Authors

The Physician Payment Reform Chapter was co-written by Michael Bailit and Christine Hughes -- both with Bailit Health Purchasing.


Michael Bailit, President, Bailit Health Purchasing

Michael founded Bailit Health Purchasing, LLC in 1997 and has worked with a wide array of employer purchasers, government agencies and purchasing coalitions across the U.S. since. Michael’s professional interests focus on how purchasers can influence health care markets to operate as effectively and efficiently as possible.

Michael has worked with clients on:

  • Medical Home strategy design and implementation;
  • performance assessment activities, including quality measurement;
  • vendor management,
  • payment system design;
  • broad-based multi-stakeholder, public/private initiatives, and
  • assistance with strategic planning activities for systems and programs.

Michael co-authored the Purchaser Guide to the Patient-Centered Medical Home, as well as the Purchaser Guide to Value-Driven Health Care.

Michael has previously worked as a purchaser in both the public and private sectors, serving as Assistant Commissioner for the Massachusetts Medicaid agency, and as a benefit manager for Digital Equipment Corporation, engaged in health and welfare benefit planning and management activities for Digital’s 60,000 U.S. employees.

Michael earned a Bachelor of Arts degree from Wesleyan University and earned an M.B.A. from the Kellogg School of Management at Northwestern University.


Christine M. Hughes, Senior Consultant, Bailit Health Purchasing

During Christine’s time with Bailit Health Purchasing, LLC she has performed several analyses regarding:

  • the use of financial incentives for quality, including Pay-for-Performance;
  • incentive use and performance measurement related to Patient-Centered Medical Home;
  • Medicaid managed care, and
  • contracting practices for long-term care.

Selected publications include: The Purchaser Guide to the Patient-centered Medical Home (Patient Centered Primary Care Collaborative) and Pay-for-Performance in the Medi-Cal Managed Care and Healthy Families Programs: Findings and Recommendations (California HealthCare Foundation).

Prior to joining Bailit in 1999, she held multiple positions in health care, including work as Director of Network Management and Contracting for Health Care Plan in Buffalo, as a network contractor for Partners Community Health Care in Boston, and as Deputy Director of the Massachusetts Medicaid HMO Program. Christine earned a Bachelor of Arts degree from Wells College in Aurora, New York and earned a M.P.H. from Boston University School of Public Health.



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 National Business Coalition on Health.
 All Rights Reserved. Disclaimer.


 
An advanced primary care model in which physicians actively work with patients to help them manage and improve their health status. Also referred to as ""patient-centered medical home."" Definitions of medical home vary, but typically include features such as care coordination, use of healthcare information technology, convenient communication (e.g. email), tracking and acting on gaps in care, and open scheduling.
Payment models that reward providers for performance in quality and efficiency based on predetermined benchmarks, such as meeting pre-established performance targets, demonstrating improved performance, or performing better than peers in the delivery of health care services. Often abbreviated as ""P4P"". P4P payments are typically made in addition to fee-for-service payments.
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