In an effort to address out-of-control health care costs and
improve quality of care, Oklahoma City-based Physician Direct has
launched an evidence-based health care network, which provides
financial incentives for both doctors and patients.
This is the first of its kind in Oklahoma, noted Jeff Greene,
CompOne Services chief executive officer and president. Physician
Direct is a subsidiary of CompOne, an Oklahoma City-based physician
billing and practice management company founded in 1997.
Physician Direct ePPO, with 4,600 participating physicians and
120 hospitals, utilizes evidence-based medical guidelines developed
by leading universities nationwide. The guidelines are voluntarily
accessed via the Internet by physicians and patients, each receiving
financial incentives for participation. With its pay-for-
performance incentive, doctors will be reimbursed 150 to 190 percent
of what Medicare pays, and patients will receive a refund on co-
pays and deductibles.
More than 100 guidelines have been developed, including
everything from treating common ailments, such as asthma, to life-
threatening diseases, such as cancer.
Evidence-based medicine, designed to provide the best possible
clinical outcome, is believed by many to be a key ingredient in
staving off skyrocketing health care premiums while improving the
standard of care patients receive.
The Rand Corp. recently conducted a study determining that
doctors run their best practices only 50 percent of the time.
They are doing things that are 'other than,' and often it's
things that they learned years ago in med school and haven't
changed, or things that they feel are more effective just because
they have that feeling, and it's not based on the science of
medicine, said Jeff Greene, CompOne chief executive officer and
And the science of medicine is how these guidelines are
The city of Duncan was the first to get on board with the ePPO
program in hopes of controlling its health care costs, which already
was $380,000 over budget this year.
Last year, the city's claims expenses were close to $2 million.
The city is a self-insured entity. Overall, the city expects a
savings of $250,000 to $300,000 a year with the evidence-based ePPO
The city of Duncan has 200 active employees, but the total
covered by the city is about 500, with dependents and retirees.
Everyone always talks about the sorry state of health care in
Oklahoma in relation to the cost of services and affordability, said
City Manager Clyde Shaw. …