Summary: Pay-for-performance (P4P), a model of provider reimbursement linked to quality achievement or improvements, has been gaining traction in the United States. This paper examines the rationale behind P4P programmes and discusses some recent examples of pay-for-performance initiatives within the...
Learn more aboutvalue-based care or pay-for-performancemodels, which emerged as an alternative and potential replacement for fee-for-service reimbursement based on quality rather than quantity.
CA Medicaid Plan Seeks to Streamline Pay for Performance Model Pay for performance models have long been one of the most popular types of reimbursement models, used to boost quality of care. CenCal Health, a Medicaid plan in California,is employinga pay for performance model to...
Washington and You: CMS forges ahead with pay for performance reimbursement plan The Centers for Medicare & Medicaid Services has every intention of moving forward with a new pay for performance system for reimbursing physicians for the... B Gatty - 《Advanstar Communications Inc》 被引量: 0发...
A recent development in reimbursement strategies is the "pay-for-performance" model. Retrospective reports showed variable success for this model for the ... N Spoerke,R Martindale - 《Current Gastroenterology Reports》 被引量: 33发表: 2009年 Quality Improvement and Pay for Performance: Barriers ...
As physicians and radiologists, we've grown accustomed to a system that provides reimbursement in a manner analogous to that English teacher-a system that uses a pay-for- volume rather than a pay-for-performance model. This system also seems to reward those who l...
EconLit (ab(‘pay for performance’) OR ab(p4p) OR ab(incentive) OR ab(penalty) OR ab(nonpayment)) AND ab(inpatient) 72 DARE ‘pay for performance’ and MeSH DESCRIPTOR Reimbursement, Incentive EXPLODE ALL TREES 21 CDSR “pay for performance” in Title, Abstract, Keywords or “nonpayment...
quality indicators into the reimbursement system for their physicians (Nolte et al., 2013). Most existing provider profiling and related research focuses on individual performance indicators. Individual performance indicators are useful in targeting specific areas for improvement and monitoring improvement ...
Diabetes management is a hallmark of various CMS primary care pay for performance (P4P) programs. Tight glycemic control, checking low density lipoprotein (LDL) cholesterol in patients already on statin medications, and aggressive blood pressure lowering, although financially incentivized by CMS, are li...
for those services. The ultimate goal, however, is to redesign the reimbursement system and move away from the fragmented, episodic, illness-oriented fee-for-service model, to one that recognizes the value of patient-centered, physician-guided care. This model would acknowledge that quality is ...