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Integration of quality assessment and physician incentives.
The ultimate challenge in dealing with any type of risk incentive system is to be able to integrate the quality of care and the cost of care into an equitable system and to monitor the system and detect either barriers to care or the withholding of appropriate services. We believe it is possible to do this and have based our incentive model upon this premise. At U.S. Healthcare, we have been successful in developing some measures of quality in the ambulatory setting and have tied the measurements to our payment mechanism.
U.S. Healthcare's quality-based compensation model.
U.S. Healthcare has developed a quality-based compensation model through which its primary care physicians, hospitals, and specialists can earn additional compensation based on the quality and cost-effectiveness of the care they provide to their patients. The model clearly delineates the expectations of U.S. Healthcare, and in contrast with traditional payment models, encourages improvement in performance. In addition, the model aligns the incentives of U.S. Healthcare purchasers, participating providers, and members in order to provide high-quality, cost-effective care that maximizes patient outcomes.
Going global puts everyone on same incentive page.
Payment schemes vary widely among hospitals and physicians, and one of the key goals of a PHO is to make payments equitable. One method of doing this is bundling services under a global pricing structure, which helps align incentives for both sets of providers. The result often is greater medical and financial efficiencies.
Networks feel the heat as employers adopt contract quality incentives.
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GOP bill includes LTC insurance incentives.
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Pay for performance: is this the cure for Medicare's ills?
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Blues primed to pay. 29 plans are already paying for performance.
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AMA sets some ground rules. Detailed conditions outlined for pay-for-performance.
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Pay-for-performance: what can you expect?
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P4P--pain for performance?
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Poll finds physicians very wary of pay-for-performance programs.
A new poll sheds light on how physician leaders across the country view the rapidly expanding pay-for-performance movement. Some take a dim view; others see it in a positive light.
Pay for performance--for whom the bell tolls.
Pay -for-performance programs require physician oversight and adherence to high ethical standards if they are truly going to succeed.
Is pay for performance ethical?
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Bridging a quality movement. Collaboration seeks to make pay-for-performance a mainstream practice.
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Pumping up bonuses in Calif. Plan seeks to boost rewards to 10% of doc income.
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Joint Commission establishes national principles to guide pay-for-performance programs.
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