Errol Pierre
๐ค SpeakerAppearances Over Time
Podcast Appearances
We're very collaborative with the communities to say, here's what we think we can do, what can you do, and as a partnership to make sure that we advance the health outcomes for the populations.
Absolutely.
Our quality program is arranged in a way that physicians receive incentives based on the quality measures that they reach.
And so an example of a quality measure would be mammograms for women that are on the PCP's panel at a certain age.
So the denominator is how many women that are assigned to them.
And the numerator is you need to get to 95%.
95% of every woman that's eligible for mammograms should get one.
And why we think that's health equity is...
Every doctor has to hit those goals for them to get the financial incentive.
And so now, whether it's a black woman, a brown woman, a woman who speaks Urdu and never spoke English or what have you, wherever they are, the physicians are crafting ways that are culturally competent to get their patient back into the office for that preventive care visit.
So we believe our quality program gets to have equity because now we're saying everyone is getting the care they need.
And it's equitable, meaning some might need a taxi ride, which is part of some of the benefits.
Some will come on their own.
Some will need a reminder.
Some will need more effort.
And the physicians go about figuring out who needs more effort to bring them in.
So it's a collaborative approach to try to find the non-responders.
And that gets to health equity, because now every member is getting the care they deserve.
So that's the first piece on the quality side.
On the value-based payment side, where there's a surplus arrangement, they are now focused on high-quality care, and they're also focused on eliminating waste, fraud, and abuse.