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• W2337730665 abstract "For decades the U.S. health care system has been designed around paying individual providers according to whatever specific services they provide. However health economists insurance companies government officials employers and health care providers themselves have come to agree that this system is partly responsible for the country’s skyrocketing health care costs because it contains built-in incentives to promote unnecessary care. Paying providers a flat rate per patient visit is one of the many alternatives to the fee-for-service design. Yet a flat-rate approach has problems of its own: For example it could undermine quality of care by discouraging providers from offering needed but expensive services. The concept of pay-for-performance (P4P) is an attempt to get provider incentives right by rewarding providers not merely for the volume of care they provide but for the quality of care they deliver. P4P initiatives have been set up in Medicare Medicaid and private-sector insurance plans and they have been incorporated into new arrangements for coordinating patient care-many of which have been propelled by the Affordable Care Act (ACA). In many ways safety-net family planning centers are already taking steps that could put them ahead of the P4P curve. They are immersed in numerous initiatives to assess and improve quality of care to adopt new health information technologies and to join Medicaid and private health plan networks. As the P4P movement progresses family planning providers have important insights to share regarding ways to reward high-quality and cost-effective care. Moreover as P4P takes hold they have much to gain-to the mutual benefit of the clients they serve-but also challenges to overcome in becoming active participants in the development of some of its underlying principles and measures. (excerpt)" @default.
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• W2337730665 date "2014-01-01" @default.
• W2337730665 modified "2023-09-24" @default.
• W2337730665 title "Pay-for-Performance: Making It Work for Safety-Net Family Planning Centers and the Clients They Serve" @default.
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