What makes MJP Different?
After nearly two decades as an academic cardiologist and medical researcher, Dr. Michael Pine founded and led a consulting firm which, for 30 years, specialized in evaluating and improving the quality of medical care and in developing analytic systems to support healthcare payment reform. Client organizations throughout the United States included major healthcare organizations, purchasers, insurers, software developers, clinical professional associations, and state and federal agencies. In addition, Dr. Pine and his colleagues published numerous articles in peer-reviewed journals about their approaches to assessing and improving clinical performance.
Dr. Pine’s experience as a clinician, researcher, developer, analyst, and management consultant convinced him that the underlying problems plaguing modern American health care could be solved only by introducing disruptive information technology to transform the market for health care (not healthcare insurance) into one that reimburses healthcare providers based on their achievement of desired risk-adjusted clinical outcomes and their economic stewardship of healthcare resources.
MJP’s component-based healthcare episode infrastructure is the product of more than two decades of independent effort. It presents a unique opportunity for government and private payers to create an efficient market for healthcare services by rewarding coordinated, cost-effective care while preserving patient and physician autonomy.
This new infrastructure can assist patients and their advocates in locating appropriate healthcare providers to create virtual health maintenance organizations that meet individual patients’ needs and preferences. Because reimbursement is governed by an integrated system which systematically processes objective measures of risk-adjusted costs and clinical outcomes while also guarding against cost-shifting and avoidance of clinical responsibility, clinicians can apply their judgment and technical expertise to benefit their patients with a minimum of external constraints or dysfunctional financial incentives. This new system also creates information to guide performance improvement initiatives for reducing healthcare costs, improving patient outcomes, and increasing reimbursement to providers that adopt superior clinical practices.