The governance documents (certificate of formation, articles of incorporation, bylaws, shareholder or corporate member agreements, etc.) and the contractual relationships among the network providers make up the legal fabric that binds the P4P professionals and providers together. Unless there is a common purpose and a shared zeal among the participating providers for the success of the P4P program, the documents are simply window dressing.
Perhaps one of the most difficult aspects of the creation of a P4P network model is the development of the positive chemistry among the participants. The novelty of the P4P concept and the uncertainty among providers as to how they will fare in a P4P system are clearly impediments to gaining physician and hospital buy-in to the development of the P4P system. Prior unfavorable experiences with hospital-sponsored PHO projects, especially the experiences of those physicians that provided services on a capitated basis, may limit the enthusiasm for participating in a P4P network. Therefore, a hospital must establish the appropriate foundation of trust with potential physician participants in a hospital-sponsored network in order to succeed.
Comments