Pay for Performance: You Don't Have To Sacrifice Quality Care To Save Money

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a University of Michigan report on participation in Medicare pay-for-performance efforts and a separate physician quality reporting program. It explains, at a high level, how a large academic health system organized care-management and follow-up programs for Medicare patients while aiming to improve measured quality and control spending growth. The piece is relevant to physicians, hospital administrators, care managers, and coding/billing professionals who follow Medicare quality initiatives and performance-based reimbursement programs.

Why This Topic Matters

It shows how Medicare quality and performance programs can influence care delivery, reporting, and organizational strategy across a large health system. Readers can gauge whether the article is relevant to Medicare quality measurement, physician group practice demonstrations, and care coordination initiatives.

What You Will Learn

  • How a Medicare pay-for-performance demonstration is described in relation to a large physician group practice
  • What types of chronic-condition care improvement initiatives are discussed
  • How a separate physician quality reporting program is mentioned in connection with performance-based earnings
  • What broad care-coordination and follow-up services are described at a high level

Who Should Read This

  • Physicians
  • Hospital administrators
  • Practice managers
  • Care coordinators
  • Medical coders and billers
  • Quality improvement staff

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