Wednesday, September 11, 2013

Pay for Performance Pays Off

Lets expand this to our doctors and therapists.
http://www.medpagetoday.com/PracticeManagement/Reimbursement/41522?
Patients treated by physicians who received cash payments for adhering to treatment guidelines were more likely to show improvements in cardiovascular risk factors, two randomized trials showed.
In both studies, blood pressure control was significantly improved among patients in practices using "pay-for-performance" (P4P) incentives tied to guideline-based care processes. One of the trials also examined other outcomes, finding significant gains in patient uptake of smoking cessation interventions, though not in the degree of cholesterol control.
More at link.

Abstract here;
Of course  before we even get to this guidelines would need to be established. I would argue that tying pay to processes is completely wrong, it needs to be tied to results. Our current processes only lead to 10% full recovery. That should never be paid for. 90% failure rate.

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