tci Medicare Compliance & Reimbursement - 2009 Issue 18
PAY-FOR-PERFORMANCE: Quality of Care Gets Financial Incentive Boost
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Article Overview
This article reviews CMS pay-for-performance demonstration projects and the reported results from hospital, large physician group, and small or solo practice settings. It is relevant to readers tracking value-based purchasing, Medicare quality initiatives, and incentive-based payment models, including the types of care domains and performance measures involved.
Why This Topic Matters
The piece shows how CMS is testing payment approaches that reward measured quality and cost performance. It helps providers, coders, and healthcare administrators understand the broader policy context behind Medicare quality demonstrations and incentive programs.
Article Sections
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Results Speak For Themselves
Summarizes reported outcomes from the CMS demonstration projects and the general areas of care measured across participating hospitals and physician groups.
What You Will Learn
- How CMS framed its pay-for-performance demonstration projects
- Which types of provider groups participated in the demonstrations
- What general categories of quality measures were tracked
- How the article positions incentives, quality improvement, and shared savings
Who Should Read This
- Medical coders
- Healthcare administrators
- Physician practice managers
- Hospital quality improvement staff
- Revenue cycle professionals
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