Abstract
The paper is about the current state of knowledge about the Value-based purchasing (VBP). It implies to a full arrangement of performance-based payment strategies that connect financial incentives to therapeutic services providers’ performance on an arrangement of characterized measures with an end goal to accomplish better esteem. Three sorts of VBP models were the concentration of the review: (1) pay-for-performance programs, (2) accountable care organizations, and (3) bundled payment programs. The U.S. Bureau of Health and Human Services is propelling the implementation of VBP over a variety of health care settings in the Medicare program in light of prerequisites in the 2010 Patient Protection and Affordable Care Act. And policymakers …show more content…
Both public and private payers are utilizing VBP methodologies with an end goal to drive upgrades in quality and to moderate the development in health care spending. Almost ten years prior, the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) started testing VBP models with their hospital pay-for-performance (P4P) demonstrations. It was also known as the Premier Hospital Quality Incentive Demonstration (HQID) and the Physician Group Practice (PGP) Demonstration, which gave financial incentives to physicians groups that performed well on quality and cost measurements (Damberg, et al., …show more content…
In 2013, the program required physicians in all practices to report information for the Physician Quality Reporting Framework—the forerunner to the PVBPM—to maintain a strategic distance from an installment punishment in 2015. The PVBPM will then utilize this information to adjust Medicare Part B payments for doctors in "significant" practices (those with at least 100 qualified experts) starting in 2015. The current proposition from the Centers for Medicare and Medicaid Services (CMS) call for the PVBPM to adjust Part B installments for doctors in practices with at least ten qualified experts beginning in 2016 and for all doctors in 2017. The idea of moving from volume to value-based payment epitomized by the PVBPM is a radical change for the Medicare program (Ryan & Press,
The paper is about the current state of knowledge about the Value-based purchasing (VBP). It implies to a full arrangement of performance-based payment strategies that connect financial incentives to therapeutic services providers’ performance on an arrangement of characterized measures with an end goal to accomplish better esteem. Three sorts of VBP models were the concentration of the review: (1) pay-for-performance programs, (2) accountable care organizations, and (3) bundled payment programs. The U.S. Bureau of Health and Human Services is propelling the implementation of VBP over a variety of health care settings in the Medicare program in light of prerequisites in the 2010 Patient Protection and Affordable Care Act. And policymakers …show more content…
Both public and private payers are utilizing VBP methodologies with an end goal to drive upgrades in quality and to moderate the development in health care spending. Almost ten years prior, the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) started testing VBP models with their hospital pay-for-performance (P4P) demonstrations. It was also known as the Premier Hospital Quality Incentive Demonstration (HQID) and the Physician Group Practice (PGP) Demonstration, which gave financial incentives to physicians groups that performed well on quality and cost measurements (Damberg, et al., …show more content…
In 2013, the program required physicians in all practices to report information for the Physician Quality Reporting Framework—the forerunner to the PVBPM—to maintain a strategic distance from an installment punishment in 2015. The PVBPM will then utilize this information to adjust Medicare Part B payments for doctors in "significant" practices (those with at least 100 qualified experts) starting in 2015. The current proposition from the Centers for Medicare and Medicaid Services (CMS) call for the PVBPM to adjust Part B installments for doctors in practices with at least ten qualified experts beginning in 2016 and for all doctors in 2017. The idea of moving from volume to value-based payment epitomized by the PVBPM is a radical change for the Medicare program (Ryan & Press,