tci Medicare Compliance & Reimbursement - 2006 Issue 3

P4P POLICY: P4P Standardization Is Key, Industry Leaders Agree

Quality reporting won't work unless Congress and CMS develop a national system, IOM says.Pay-for-performance adoption will accelerate if government programs begin to mandate them, researchers say. Further, if government agencies--such as the Centers for Medicare & Medicaid Services--provide a uniform set of quality reporting guidelines, P4P implementation could be successful. Standardized P4P measures may be the solution to many of the problems that the Center for Studying Health System Change discovered in its site visits to 12 communities during 2005. CMS launched a P4P demonstration in early 2005 and "expressed support for Congressional efforts to integrate P4P...

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