Transitioning from fee-for-service to fee-for-performance: It’s not just an accounting change, it’s a mindset change

This will bankrupt every single stroke hospital, stroke department, neurologists and stroke medical professionals. As long as performance is defined as recovering from the stroke rather than just doing procedures. Since only 10% almost fully recover a 90% reduction in income is going to be hard to handle.  But in the long run this will be much better for stroke survivors because it will finally concentrate the minds of stroke professionals to focus on RESULTS. Rather than guidelines like 'Get With the Guidelines' from the AHA/ASA and stroke center certification from the Joint Commission.
If your stroke hospital doesn't go bankrupt they have gamed the system and aren't being paid for results. This is going to be an extremely rough period, our medical professionals can see for themselves how badly they have been serving survivors for decades. 
http://medcitynews.com/2015/12/transitioning-from-fee-for-service-to-fee-for-performance-its-not-just-an-accounting-change-its-a-mindset-change/?
While the ongoing change from fee-for-service to fee-for-performance healthcare is rooted in providing better and more efficient care to patients, plenty of providers remain skeptical about the transition and what it means for their already, in some cases, razor-thin margins.
“What we hear from clients is fee-for-service isn’t just a reimbursement model but a mindset,” says Amber Thompson, VP, Coordinated Care Solutions. “The ‘bundled’ model is completely different.”
As she explains, fee-for-performance healthcare means that the cardiologist, PCP, pharmacist and home care worker are all responsible for coordinating quality care for a heart disease patient. “In the past,” Thompson points out, “these chutes have been exclusive.”
And it’s certainly not a bad thing that patient satisfaction is driving everything. It’s only right that providers who offer the most successful, patient-oriented care reap the rewards, but the fee-to-performance model is driving a change in thinking among providers who have long kept their heads in the sand when it comes to accounting.
“The real issue,” Thompson says, “is we’re all in this together now.” Every care provider who sees that heart disease patient now needs to be on board with giving him or her the best care possible with the least chance for hospital readmission.

More at link.