Application: Pay-for-Performance
The predominant model for the delivery of health care in the United States and other parts of the world is fee-for-service. A new model gaining in popularity is known as pay-for-performance, or P4P. In the P4P model, providers are paid for how well they provide care, not how much care they provide. There are rewards for high quality, efficient and effective care and penalties for wastefulness and medical errors. Whether or not P4P can raise the standards of care and/or lower its cost is a matter of some disagreement.
To prepare for this Application Assignment:
• Review the Learning Resources for this week that discuss pay-for for-performance.
• Find two additional reputable sources (i.e., news sources, accreditation and health care agencies, peer-reviewed journal articles, etc.) that address the challenges of adopting a pay-for-performance approach for ensuring quality and safety in health care.
To complete this Application Assignment, write a 3-page paper that addresses the following:
• Summarize and analyze the challenges discussed in the two sources you selected.
• Select the two most significant challenges to the successful adoption of a P4P approach, and explain why.
Resources
Pear, R. (2007, August 19). Medicare says it won’t cover hospital errors. New York Times.
Pear, R. “Medicare says it won’t cover hospital errors” Copyright 2007 by the New York Times. Reprinted by permission of the New York Times via the Copyright Clearance Center
O’Reilly, K. (2008). Medicare’s no-pay events: Coping with the complications, American Medical News. Retrieved from http://www.amednews.com/article/20080714/profession/307149968/4/
Wachter, R. (2010). Patient safety at ten: Unmistakable progress, troubling gaps. Health Affairs, 29(1), 165–173. Retrieved from the Walden Library using the ABI/INFORM Complete database.
