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What is pay for performance or value-based purchasing (VBP)?   Do you think pay for performance...

What is pay for performance or value-based purchasing (VBP)?  

Do you think pay for performance or value-based purchasing (VBP) is a good idea for healthcare?

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Answer #1

Ans) Pay for performance: P4P

- Any type of providers payment system that is based on performance and incentives.

Value based purchasing: VBP

- System in which purchasers hold providers of healthcare accountable for both the costs of healthcare and its quality
- Entities that bear the risk for the cost of healthcare services received by a group.

VBP P4P
Cost: same cost Additional payment
for high or increasing
quality

Setting: Public sector Private sector
(Medicare) (health plans &
employer-payer
coalitions)

Duration: 2004 Deficit Reduction Act
(DRA) 2005

VBP & P4P:

-Wide-spread movement toward quality and safety

-Pay for performance (P4P) and value-based purchasing (VBP) emerge as way to align payment incentives and quality

- These systems were created for the health care system as an incentive linked to payment, performance and quality.

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