Reimbursement and Pay-for-Performance Essay

IntroductionThere is a maturation trend in the United States c totallyed pay-for-performance. Pay-for-performance is a dodge that is used where furnishrs argon compensated by payers for showdown certain pre-established measures for fibre and efficiency (What is Pay-for- achievement, n.a.). We atomic number 18 way out to be discussing what pay-for-performance is. There be distinguishable aspects of pay-for-performance which imply the effects of reimbursement by this approach, the bear on personify reductions has on attribute and efficiency of wellness thrill, the affects to the providers and affected roles, and the effects on the future of wellness foreboding.Pay-for-PerformancePay-for-performance (P4P) and value-based purchasing ar footing that scum bag be heard within the wellness awe industry which, describes payment establishments that reward doctors, hospitals, and some opposite health fearfulness providers for their timbre and efficiency. The o bjective of pay-for-performance (P4P) initiatives is to memorizetact reimbursement to calibre of health anxiety as easily as reduce administrationwide cost (Shi & Singh, 2012). Government agencies as well as private health plans atomic number 18 in the process of establishing syllabusmes in hopes to encourage hospitals, doctors, and other providers so that they provide start to meet the tint of standards and achieve the ideal outcome for longanimous ofs. The boilersuit destination for pay-for-performance is to increase the quality of health address, slice step-down the medical examination costs by implementing programs that leave behind emphasis on things such as preventative electric charge which would include dish ups such as annual exams and vaccinations.Measurements and IncentivesWhen it comes to quality of forethought measurements on that point are different categories one of which being structure. The structure measures affected roles access to health vex, the use of electronic systems and the patients experience of the tutelage that they received. Incentives can be either financial incentives or non-financial incentives. Pay-for-performance has kinda a few prosbecause it helps increase the motivation of the doctor or health like facility which in retrogress ordain how the company that the individual care for their job and wants to be rewarded based on their near(a) behavior and quality of care that they provide the patient with. There can be a con when it comes to pay-for-performance which would be that if the physician or staff does not have the proper knowledge, training, and experience thence they baron not be able to reach or exceed the goals that have been set. When the proper knowledge, training, and experience is an discover than this can cause the company to have to sit money into necessitateting that individual the training and resources that they extremity to obtain the set goals.How Reimbursement is Affec tedWhen it comes to the pay-for-performance programs they have been introduced to the health care system to offer incentives to physicians, hospitals, and other medical facilities however the underlying structure of the payment system already give ins a lot of incentives on its own. occurrently in the United States a majority of physicians are paid on a fee-for-service basis, which in returns encourages a high volume of serve, without regard to the value of the service to the patient. In the health care industry at that place are services that after they are performed the reimbursement is to a greater extent(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 affected the pay-for-performance in a positive way 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 divergence to be delivered because health care providers are going to be able to overstate their profit through improving their quality of care, or else of it being the fee-for-service quantity.Pros of Pay-for-Performance for PatientsWhen patients essay physicians who are part of the pay-for-performance program this can be beneficial for them. The reason that patients put through benefits is because the physician will work with the patients individually to aim bust health care chairs 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 expression 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 general health is going to increase as a result of the services provided.System Cost ReductionsThe system costs reductions wi ll have a positive impact on the quality and efficiency of health care. A lot of analyst have worried that the cheap Care Act will weaken the quality and efficiency in health care because in that respect will be way more patients and not enough quality health care providers. harmonize to Agency for Healthcare Research and lineament (n.d.) In 2000, health care spending rose to $1.3 zillion dollars, or an average out of $4,637 per person. As a parcel of the Gross Domestic Product (gross domestic product), it grew from 13.1 percent in 1999 to 13.2 percent in 2000. National health expenditures are anticipate 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 approximately 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 take 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 attention to their overall health. The patient will also see benefits because there are incentives for patients when they live a healthy lifestyle. cardinal 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 th en the patient is going to go back and dissever 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 crosswise 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 continue 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 affordable for legion(predicate) Americans who cannot afford health care coverage and or services. In the future we are going to start see healthier Americans because they are going to get health care services that are tailored solely on their health care needs. Doctors ar e going to start running(a) to provide quality care in battle array to get their patients healthier whether it be getting their load under control, blood pressure, and various other illnesses. culminationPay-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 previous 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 decre ase 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 Policy (5th ed.). Boston, MA Jones and Bartlett. Retrieved from The University of Phoenix eBook Collection database.