"Because of the different price Medicare pays us versus the hospital for the identical service outpatient services in the physician setting is a big savings right there," Schwartz says. "Then if you are able to provide urgent care services instead of ER services that is a big savings. Finally if you have sufficiently coordinated outpatient programs working with community providers such as nursing organizations and others you are able to further decrease hospital utilization. We are hoping to see savings of 5% or 10% over the course of the three years of the program."
Schwartz says WESTMED has hired case managers to better analyze patient data, which will help the group identify and coordinate care for high-risk patients and plug other care coverage gaps.
"We consider it a trifecta," he says. "The government will do well, the patients will do well, and we will do well. And we hope it turns out to be successful."