2008 National Pay for Performance Summit
MedSun: Newsletter #20, January 2008

Pay for performance is an emerging movement in the health insurance industry, which began in Britain and United States. Providers under this arrangement are rewarded for meeting pre-established targets for delivery of healthcare services. This is a fundamental change from fee for service payment.

Also known as “P4P” or “value-based purchasing,” this payment model rewards physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures for quality and efficiency. Disincentives, such as eliminating payments for negative consequences of care (medical errors) or increased costs, have also been proposed. In the developed nations, the rapidly aging population and rising healthcare costs have recently brought P4P to the forefront of health policy discussions. Pilot studies underway in several large healthcare systems have shown modest improvements in specific outcomes and increased efficiency, but no cost savings due to added administrative requirements. Statements by professional medical societies generally support incentive programs to increase the quality of health care, but express concern about the validity of quality indicators, patient privacy, physician autonomy and increased administrative burdens.

Next month, February 27 - 29, 2008, the National Pay for Performance Summit to Enhance Healthcare Access, Quality and Efficiency will hold its third meeting at the Beverly Hilton Hotel in Los Angeles, CA. The primary goal of the Summit will be to continue the important ongoing dialogue about the appropriate role and structure of pay for performance in both the private and public sectors. This includes exploring key policy issues and practical challenges for implementing pay for performance, its potential to achieve meaningful improvements in quality and efficiency, and its influence on payment reform. These are relevant, dynamic topics in light of new and proposed health care reforms, increased engagement in pay for performance by Medicare and Medicaid, new research, and findings from the practical experiences of pay for performance programs both nationally and internationally.

Summit topics will include presentations, panel discussions and case studies from leading researchers, policy experts and pay for performance administrators. Technical experts in performance measurement, data collection, public reporting and incentive design will also lend their experience and perspectives to the Summit proceedings.

Additional Information:

For more information, click on the National Pay for Performance Summit

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