Reimbursement and Pay-for-Performance Essay

Introduction at that place is a growing trend in the joined States c eached pay-for-performance. Pay-for-performance is a carcass that is used where suppliers ar compensated by payers for showdown certain pre-established measures for forest and aptitude (What is Pay-for-Performance, n.a.). We ar sacking to be discussing what pay-for-performance is. at that place argon different aspects of pay-for-performance which include the effects of reimbursement by this approach, the impact cost reductions has on smell and efficiency of wellness wield, the affects to the providers and longanimouss, and the effects on the hereafter of wellness sell.Pay-for-PerformancePay-for-performance (P4P) and value-based purchasing atomic number 18 terms that stack be perceive within the wellness condole with industry which, describes payment agreements that reward medicos, hospitals, and another(prenominal) health portion out providers for their quality and efficiency. The objective of pay-for-performance (P4P) initiatives is to link reimbursement to quality of health anxiety as well as reduce systemwide be (Shi & Singh, 2012). governing body agencies as well as private health plans be in the process of establishing programs in hopes to encourage hospitals, doctors, and other providers so that they provide divergeing line to meet the quality of standards and achieve the ideal outcome for patients. The overall design for pay-for-performance is to increase the quality of health vexation, while reducing the medical be by implementing programs that will focus on things such as intervention flush which would include services such as annual exams and vaccinations.Measurements and IncentivesWhen it comes to quality of economic aid measurements there are different categories one of which being building. The structure measures patients access to health care, the use of electronic systems and the patients experience of the care that they received. Incenti ves burn be either financial bonuss or non-financial incentives. Pay-for-performance has quite a fewer prosbecause it jockstraps increase the pauperization of the medical student or health care installment which in return will how the company that the one-on-one care for their muse and wants to be rewarded based on their good behavior and quality of care that they provide the patient with. There can be a insect bite when it comes to pay-for-performance which would be that if the physician or staff does not have the right(a) knowledge, training, and experience then they might not be able to impinge on or exceed the goals that have been set. When the proper knowledge, training, and experience is an issue than this can cause the company to have to invest money into pullting that individual the training and resources that they need to obtain the set goals.How Reimbursement is AffectedWhen it comes to the pay-for-performance programs they have been introduced to the health c are system to offer incentives to physicians, hospitals, and other medical facilities however the central structure of the payment system already generates a lot of incentives on its own. Currently in the United States a majority of physicians are salaried on a fee-for-service basis, which in returns encourages a high volume of services, without estimation to the value of the service to the patient. In the health care industry there are services that after they are performed the reimbursement is more(prenominal) generous on the payout than others.The pay-for-performance can alter the current incentives that physicians, hospitals, and other medical providers already receive. Reimbursement has touched the pay-for-performance in a positive management because health care providers are able to financially gain from it for providing their patients with quality health care services. Reimbursements are reinventing the way that health care is loss to be delivered because health care pr oviders are going to be able to amplify their profit by dint of improving their quality of care, instead of it being the fee-for-service quantity.Pros of Pay-for-Performance for unhurriedsWhen patients keep in line physicians who are office staff of the pay-for-performance program this can be beneficial for them. The reason that patients see benefits is because the physician will work with the patients individually to get better health care results for the patient. If a patient has high blood pressure then the physician will focus on that issue and will work with the patientto get it back to normal which in return the physician will see an incentive for this and the patient wins as well because they are getting the treatment that they need and their overall health is going to increase as a result of the services provided.System Cost ReductionsThe system costs reductions will have a positive impact on the quality and efficiency of health care. A lot of analyst have stressed that the Affordable Care Act will weaken the quality and efficiency in health care because there will be way more patients and not enough quality health care providers. consort to Agency for Healthcare Research and whole step (n.d.) In 2000, health care spending rose to $1.3 meg dollars, or an average of $4,637 per person. As a per centumage of the Gross Domestic Product (GDP), it grew from 13.1 percent in 1999 to 13.2 percent in 2000. National health expenditures are expected to reach $2.8 trillion in 2011, with an average annual growth rate of 7.3 percent from 2001 to 2011. By growing 2.5 percent faster that then the GPD, expenditures will consume more or less 17 percent of the GDP in 2011(para. 6).Affects on providers and CustomersPay-for-performance affects health care providers and their customers in a positive aspect because it improves the quality of health care that they receive from their physician which in return increases value. The pay-for-performance program will drive health care from basic health care delivery to high-quality health care delivery. The way that this is going to affect the patient customer is because they are going to have an overall better experience with more assist to their overall health. The patient will also see benefits because there are incentives for patients when they live a healthy lifestyle. One of the incentives that the patient will see is in cost savings in the immediate future.Pay-for-performance is positive for all stakeholders involved within the program because it delivers on the main goal which is to increase the quality of care to patients while reducing the costs. The pay-for-performance will also help health care providers to establish more rapport and generate a good feedback within the community because when their patient receives quality health care services then the patient is going to go back and pick out their family and friends about their positive experience and recommend that health care provider to their lovedones.Effects on Future Health CarePay-for-performance programs are expected to expand across the United States health care in the near future, especially with the implementation of the Affordable Care Act. The pay-for-performance is going to persist in to increase the quality of health care that the patient receives from their health care provider. Pay-for-performance is eventually going to be all across the United States and more medical professionals are going to be participating within this incentive program which is going to start making health care low-priced for many Americans who cannot afford health care coverage and or services. In the future we are going to start seeing healthier Americans because they are going to get health care services that are custom-built solely on their health care needs. Doctors are going to start works to provide quality care in order to get their patients healthier whether it be getting their weight under control, blood pressure , and heterogeneous other illnesses.ConclusionPay-for-performance and reimbursement is changing the health care delivery system into a more cost efficient health care system that before. This is going to improve the quality of care that one receives because it steers away from the fee-for-service and gives physicians motivation to provide their patients with a better quality of car because of the incentives that they will receive. There are going to be many baby boomers that are going to start requiring more health care services and with this pay-for-performance implementation it is going to give them a better quality of care than in earlier years. With the pay-for-performance incentives this is going to motivate doctors to get their patients in overall better health which in the future we will probably start seeing a decrease in chronic illnesses as patients will be working towards a better and healthier lifestyle.ReferencesAgency for Healthcare Research and Quality (n.d.) http// www.ahrq.gov/research/findings/factsheets/costs/costria/index.htmlRosenthal, M.B. (2006). How Will Paying for Performance Affect Patient Care?. Retrieved from http//virtualmentor.ama-assn.org/2006/03/pfor1-0603.htmlShi, L., & Singh, D. A. (2012). Delivering health care in America Health insurance (5th ed.). Boston, MA Jones and Bartlett. Retrieved from The University of Phoenix eBook Collection database.