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In the United States, Medicare has various pay-for-performance ("P4P") initiatives in offices, clinics and hospitals, seeking to improve quality and avoid unnecessary health care costs. [25] The Centers for Medicare and Medicaid Services (CMS) has several demonstration projects underway offering compensation for improvements:
The Demonstration is a prime example of the shared savings model of payment reform [3] and represents Medicare's first physician Pay-for-Performance initiative. [4] The three main goals of the PGP Demonstration are: To encourage physician participation in Parts A & B of the Medicare Program; To promote cost efficiency and quality of care; and
In 2015 CMS identified 254 quality measures for which providers may choose to submit data. The measures map to U.S. National Quality Standard (NQS) health care quality domains: [4]
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Pay-for-Performance is a method of employee motivation meant to improve performance in the United States federal government by offering incentives such as salary increases, bonuses, and benefits. It is a similar concept to Merit Pay for public teachers and it follows basic models from Performance-related Pay in the private sector.
Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately. [1]In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care.
HCUP Logo. The Healthcare Cost and Utilization Project (HCUP, pronounced "H-Cup") is a family of healthcare databases and related software tools and products from the United States that is developed through a Federal-State-Industry partnership and sponsored by the Agency for Healthcare Research and Quality (AHRQ).
In the United Kingdom, the National Health Service (NHS) began an ambitious pay-for-performance initiative in 2004, known as the Quality and Outcomes Framework (QOF). [148] General practitioners agreed to increases in existing income according to performance with respect to 146 quality indicators covering clinical care for 10 chronic diseases ...