Reimbursement and Pay-for-Performance

1626 Words7 Pages
Reimbursement and Pay-for-performance Theresa Kilgo HCS/531 December 16, 2013 Dr. Rachael Kehoe Reimbursement and Pay-for-performance There are a lot of problems within the health care system that State, Federal, and Local governments are trying to correct the matter by moving away from the fee-for-services model and move to the pay-for-service model. One of the problems is cost and efficiency of health care, and one of the ways that they are trying to fix the problem is with pay-for-performance. That can be defined as an incentive that provide financial funds to health care providers to carry out improvements focused on achieving prime patient issues, this program is widespread and many states have adopted the program, and many have a report that they have seen an increase in quality of care. This program was created to improve the healthcare systems, however, many authors have different meanings and roles of pay-for-performance but all agree on the definition and function of the program, “the objective of pay-for-performance initiatives is to link reimbursement to quality and efficiency as an incentive to improve the quality of health care, as well as reduce system wide costs” (Shi & Singh, 2012, p. 237). There are a lot of pros and cons of pay-for-performance in health care (see appendix for charts.) the chart will show what people think about pay-for-performance and the good they think it does for the health care system but it also shows the cons what people think is wrong with the pay-for-performance program. However, many are not satisfied by pay-for-performance including congress who are not on board with the Medicare reimbursement because the policy relies on the evidence-based medicine it is used to developed a “clinical practice guidelines and compensate health care providers according to their compliance with the best practices dictated by a
Open Document