Incentivizing Quality Care Through Pay-for-Performance – Commonwealth Fund – April 2012

Posted on April 24, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Health Economics | Tags: , |

Incentivizing Quality Care Through Pay-for-Performance – Commonwealth Fund – April 2012

by David Squires

“One target of reforms to reduce health care spending and improve quality has been the fee-for-service payment model, long criticized for creating incentives for providers to increase the volume of services, rather than improve the quality and efficiency of care. Alternative payment models have gained momentum in the U.S. and abroad to align providers’ incentives with value rather than volume.

One such alternative is pay-for-performance reimbursement, which rewards providers for meeting designated targets. Rather than replacing traditional payment methods, pay-for-performance approaches can be combined with them to provide incentives to improve. For example, a primary care doctor may receive an extra payment if a certain percentage of his or her patients receive all of their recommended screening tests. Accountable care organizations are another, far more sophisticated, example; in such organizations the target is to provide high-quality care while reducing costs and the reward is a portion of the cost savings.

Many countries have experimented with pay-for-performance models in recent years. These experiences offer examples and lessons for using incentive payments to encourage improvements.”

… continues on the site

Looks at:
England: The Quality and Outcomes Framework
Australia: Practice Incentives Program
Germany: Disease Management Programs

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