If the goals or outcomes are not achieved, then the providers can be penalized. Measures that are set in place need to be specific based off of the treatment and care provided. When looking at patient experience, this is where it may not be clear and lower performing providers are penalized which affects the whole organization when looking at quality and costs [ CITATION Sta15 \l 1033 ]. P4P has the ability for providers to increase quality and satisfaction, which in turn decreases costs. Value-Based Purchasing ProgramsThe Value-Based Purchasing Program was put in place by CMS as part of the 2010 Affordable Care Act (ACA). The overall goal of this program is to improve overall spending within healthcare systems. This is done by cutting Medicare payments to hospitals who are part of the program and then takes the pool of money collected and reissues it in the form of incentive
4PAY FOR PERFORMANCE (P4P)payments to the hospitals who increased their overall quality, patient satisfaction and cost[ CITATION Pan17 \l 1033 ]. Issues that could ensue are that questions could arise in how the organizations are incentivized in relation to the goals in place and the complexity of patients. Benefits of P4P on PatientsThere are several benefits by utilizing the P4P model. It puts an emphasis on the quality of care patients are receiving over the quality of care. It encourages providers to use best practices and promote positive outcomes. The data that is reported, is public providing transparency, accountability and give the patients the opportunity to be informed and make informed choices in their care.
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Health care provider, Health care in the United States, P4P