Team B; Tammy, Alyssa, Felecia. Sherria, Tiffany
HCS/531
January 19, 2015
Georgetta Baptist
The Evolution of Health Care and Timeline
An important development in Medicare reimbursement is toward pay-for-performance (P4P) and it is receiving attention in the public and private sectors. P4P aims to align provider payments with the quality of care that is provided to the consumer (Shu & Singh, 2012). P4P is a priority to the Centers for Medicare & Medicaid Services (CMS) and they believe that they should seek opportunities to encourage improvements in the quality of care of their beneficiaries (Centers for Medicare & Medicaid Services, 2005).
As part of the Medicare Prescription Drug, improvement, …show more content…
The IOM found numerous medical factors contributing to poor quality and included the payment system as part of the problem (Petersen, Woodard, Urech, Daw, & Sookanan, 2006). The IOM also found that the payment system contributed as disincentives to quality care and out of the interest of society, these findings could not be ignored. Any actions to improve health care and offer incentives for quality care are of interest to society as health care consumers. Society is or will be recipients of care at some point and will prefer the best care that can be offered. When given the option, no person would choose lesser quality of care over high-quality care and so it can be assumed that valuing quality care is of interest to all. Another segment of society is the providers, who play a large role in P4P. The P4P idea has gained traction among providers due to concerns regarding costs, inefficiency, safety, and consumer engagement (Schmitt, 2012). Consumers are becoming rapidly aware of costs and quality of health care through information technology, and the result of the customers to get vested in P4P to improve care have forced providers to follow suit. Regardless of P4P effectiveness, it is evident that society values an effort to improve care and will be the driving force of …show more content…
One team member found with the implementation the IOM there was assorted evidence regarding the possible effectiveness of P4P payments which warrants some financial organizations to lean towards the P4P measures. Another team member found that P4P proposal has gained enormous attention among providers. Team B found out that expanding on new quality measures to implement in P4P could give the pay for performance proposal the results that will be used to modify the initiatives already in play (Miller,