Get used to being measured, and learn new skills and competencies, says HM12 speaker.
by Caitlin Foxley, MD, FHM
Patrick Torcson explained the history behind the ABCs of CMS during a Monday-morning session at HM12.
Medicare Part A currently spends $200 billion annually, and Part B spends $120 billion annually. These costs are unsustainable, said Dr. Torcson, and a 2003 Rand study found the quality of care provided by Medicare to be "untrustworthy." Fee for service is volume-based, not quality-based, said Dr. Torcson. Out of this was born the idea of pay for performance (P4P). The structure of P4P is such that performance is measured, reported, and rewarded. Whether or not P4P actually works is controversial, said Dr. Torcson. Studies are limited, results are conflicting, and nothing suggests better outcomes for patients.
The 3 Stages of P4P
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