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  2. Pay for performance (healthcare) - Wikipedia

    en.wikipedia.org/wiki/Pay_for_performance...

    In the healthcare industry, pay for performance (P4P), also known as "value-based purchasing", is a payment model that offers financial incentives to physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures. Clinical outcomes, such as longer survival, are difficult to measure, so pay for ...

  3. Physician Quality Reporting System - Wikipedia

    en.wikipedia.org/wiki/Physician_Quality...

    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] Communication and Care Coordination; Community/Population Health; Effective Clinical Care; Efficiency and Cost Reduction; Patient Safety

  4. Accountable care organization - Wikipedia

    en.wikipedia.org/wiki/Accountable_care_organization

    The US Department of Health and Human Services (DHHS) proposed the initial set of guidelines for the establishment of ACOs under the Medicare Shared Savings Program (PPACA Section 3201) on March 31, 2011. These guidelines stipulate the necessary steps that physician, hospital and other health care provider groups must complete to become an ACO.

  5. Pay for performance - Wikipedia

    en.wikipedia.org/wiki/Pay_for_performance

    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 ...

  6. Healthcare Effectiveness Data and Information Set - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Effectiveness...

    The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks.

  7. Health care reform - Wikipedia

    en.wikipedia.org/wiki/Health_care_reform

    Payment is about the distribution of available resources to the providers of health services. Health care reform can implement a variety of incentive schemes for both providers and patients in a way to optimize limited resources. Organization of the health system refers to the structure of providers, their roles, activities and operations ...

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  9. Service Excellence – Health Care - Wikipedia

    en.wikipedia.org/wiki/Service_Excellence...

    Managers of healthcare delivery systems endeavor to provide the highest possible care achievable. [7] Inherent to this goal is the need for evaluation of the quality of the health services provided. Measuring patient satisfaction is an indirect measure of quality, and can pose some difficult challenges to individuals attempting to assess ...