The present invention provides a method of providing a monetary incentive
to a health care provider, typically a physician, responsible for
treatment decisions of a patient with a condition during an episode of
care. Once the patient identity and condition are obtained, a baseline
value related to treatment of the condition can be associated.
Thereafter, all the claims processed during the episode of care of the
patient for the condition can be summed to obtain a total treatment cost.
And, if the total treatment is less than the baseline value, then a
monetary incentive can be provided to the provider based upon that
episode of care.