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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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Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), (H.R. 2, Pub. L. 114–10 (text)) commonly called the Permanent Doc Fix, is a United States statute. Revising the Balanced Budget Act of 1997 , the Bipartisan Act was the largest scale change to the American health care system following the Affordable Care Act in 2010.
Pay for performance may refer to: Pay for performance (human resources), a system of employee payment in the United States that links compensation to measures of work quality or goals; Pay for performance (healthcare), an emerging movement in health insurance in Britain and the United States, in which providers are rewarded for quality of ...
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.
According to the Centers for Medicare and Medicaid Services, an ACO is "an organization of health care practitioners that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it".