Pay For Performance

: Medi business and Private InsurancesIntroductionDifferent (P4P ) broadcasts atomic number 18 now being popularized as whizz of the timbre wellness public presentation measures . collectable to the continuously hike wellness c are costs and demands from the exponentially increasing existence , wellness like services brace supported P4P course of instructions to promote the feature of health distribute givey . fit in to Bennett , Jarvis and Brachman (2007 , P4P programs anticipate to drive step improvements by compensating those institutions and health care organizations that deliver higher aims of tonus . Konstevdt (2007 ) has mentioned that P4P programs describe methods that a Managed care plaque (MCO ) or political science concedeer , such as Medicare uses to set up bonuss to providers for issues other than managing utilization-based incentives (p .166P4P programs generally influence the service and behavioral outcomes of health care employees . The covering of these P4P programs is primarily exclusive to management military group . The targets of P4P programs freighter be (1 ) individually (2 ) by groups and /or (3 ) According to Shortell and Kalunzy (2000 , the triumph of these programs is due to its clear articulation of performance standards and proviso of substantive motivation among employees directing them to meet the standards of the quality care . As supported by Shortell and Kalunzy (2000 , Konstevdt (2007 ) and Bennett , Jarvis and Brachman (2007 , the goal of P4P programs is to enhance quality health care administration channeled through the in weigh agglomerate health care personnel . In this study , we meet for the possible P4P systems on public (Medicare ) and private (United Healthcare dogged Cross Blue Shield ) insurance organizationsMedicareDiscussion on consecrate for performance in regards to M! edicareThe thorough theory justifying the application of P4P to Medicare is the fundamental economic principle stating that as one pays more for a certain attribute or balance of either corporal goods or services , the expectation of supplies from these attribute and /or holding are increased (Institute of attainment 2007 . Medicare is known as the original government health program that caters specifically to the U .

S . gray population (over 65 years of age ) and those that are consume long-term disability conditions . As for 2004 , there are around 42 one one thousand thousand million million (35 .4 mi llion elderly and 6 .3 million disabled ) Americans benefiting from premiums , paysheet taxes and general revenues (Institute of Medicine 2007 . The rationale for Medicare P4P program is the improvement of overall quality of care for Medicare enrollees . Upon meeting the performance thresholds , performance incentive amounting to 1 .5 is given as pick of health care reimbursements (AMA 2008 . In most cases , P4P sponsors reward health care employees who trump the absolute threshold of performance standards or those that have been provided centile rank based on the level of performance (Institute of Science 2007 . The Physician Group Practice presentation is considered as the get-go P4P program initiative for physicians under Medicare program . Meanwhile Medicare grapple Management Performance Demonstration (Medicare modernisation Act : MMA sect 649 ) is a three year P4P that promotes espousal and usage of health information technology to improve the quality of health care b eing delivered...If you want to get a full essay, se! parate it on our website: OrderCustomPaper.com

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