tci Medicare Compliance & Reimbursement - 2007 Issue 15

P4P: Paying Medicare Physicians For Performance Doesn't Make Sense, Researchers Claim

Hospitals thrive but primary care applications falter.The concept of paying for performance in health care promises to reduce inefficiencies and costs simultaneously, but the benefits derived in hospital settings may not extend to primary care practices, according to several new reports on the subject.The move to a pay-for-performance (P4P) health care system has affected nearly every facet of the industry. More than 50 percent of the country's HMOs, representing more than 80 percent of HMO enrollees, have instituted P4P programs, report Ashish Jha and Arnold Epstein of the Harvard School of Public Health. In addition, the Centers...

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