Pay For Performance Model In Health Care

Pay for Performance models recompenses health care providers is established on all or in part on meeting certain results instead of compensating for the health care services that the physicians provided. This new change gives medical providers the incentives and motivation to think about the quality, value, significance, and the expense of the medical care that is being rendered and to move away from other incentives that traditional fee-for-services provides health care provides to rise the amount of very high profitable health care services (Cromwell, Trisolini, Pope, Mitchell, Greenwald, 2011). The Patient Protection and Affordable Care Act of 2010 (Obamacare) developed some new Medicare programs that were meant to enhance the health care quality, utilizing “pay-for-performance” payment strategies to place financial burden on the healthcare providers. In these programs, compensation reveals provider performance on metrics established on adherence to particular care procedures, totals on patient satisfaction surveys, or patient results. The underlying principle …show more content…
Furthermore, it will guide us to improvements in health care education and malpractices. Healthcare providers and contractors will have to convert to risk-sharing organizations, while clients will have to obtain more cost sharing, especially for specialty products. Payments will be established on quality care metrics and this will help pick out the health care providers that are not doing holding up to their standards and not providing a great quality of care to their patients (McGovern & Spatz,