Should you build or buy?

    o If you build:

    4 Buy-in from physicians is easier because they've had input into the process.

    4 You have more control over what the program looks like.

    4 If the program works, you get to keep all the savings.

    o If you buy:

    4 It's easier. The vendor has the infrastructure to identify and contact appropriate patients, track outcomes, intervene on weekends, etc.

    4 It takes less time. A vendor can have you up and running in 90 to 120 days; it might take you years to do it yourself.

    4 You can get guaranteed cost savings and a proven track record from a vendor.