tci Medicare Compliance & Reimbursement - 2008 Issue 30
Pay for Performance: You Don't Have To Sacrifice Quality Care To Save Money
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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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