MHA 628 WK2 ASSIGNMENT.docx - Running head PAY FOR...

Running head: PAY FOR PERFORMANCE 1
Pay for Performance (P4P)
Jeanette Rankins
MHA 628 Managed Care & Contractual Services
Dr. Sherrie Hwang Ji-Lu
July 23, 2018

PAY FOR PERFORMANCE 2
Pay for Performance (P4P)
The U.S. social insurance framework has been censured for surprising expense, inefficacy,
and issues on quality. P4P is an approach used to give motivating forces to doctors and social
insurance supplier associations to accomplish enhanced execution by expanding nature of
care and lessening costs (Kongstvedt, 2012). The Pay for execution (P4P) in the human
services field is planned to enhance the administration of patient results. It for the most part
is characterized as suppliers' providing information on determined quality measures and
buyers' paying for wellbeing administrations differentially in light of the results coming
about because of those preset measures. Pay for performance (P4P) is progressively being
utilized to fortify human services suppliers to enhance their execution. Be that as it may,
confirm on P4P adequacy stays uncertain along these lines blemishes in program
configuration may have added to this restricted achievement (Eijkenaar, 2013). Based on a
synthesis of relevant theoretical and empirical literature, this paper defines the challenging
issues with designing a P4P program, the impact on provider payment reform, reactions to
Value-Based Purchasing Programs (VBP), and the benefits of a P4P on patients. While pay-
for-performance programs are planned basically to enhance the viability and security of
patient care may fill in as a positive power in our social insurance framework.

PAY FOR PERFORMANCE 3
P4P programs focus primarily on clinical performances that mainly adhere to evidence-
based clinical practice and patient safety. Some of these performances include a utilization
related component such as the prescription rate for generic drugs; however, some also include
non-clinical performance measures such as electronic health records (EHRs), electronic
connectivity, electronic decision support and patient satisfaction. Businesses in some cases
utilize the capacity to acquire extra pay as a technique for inspiring representatives to expand
their profitability. The outlining of pay for-performance projects can take numerous structures,
including money rewards, organization stock, benefit sharing and quality gauges. While pay for-
execution designs give impetus to cash roused workers, bosses need to think about the
conceivable difficulties with outlining such a program before actualizing them.
The greatest challenge in executing a P4P program is getting everybody to concede to
quality norms. Quality principles are target measures used to decide if suppliers are putting forth
amazing consideration. For instance, one conceivable quality standard would be for specialists to
test A1C levels in patients with diabetes four times each year. In a P4P framework, specialists