Question

Please answer the following question as such.

How do public reporting and payment incentives affect the quality of care provided by hospitals, physicians and and the following:

1. Pay for performance, ACOs, bundled payment, etc.
2. Role of government / quasi-government sources
   1. Medicare Hospital Compare/Nursing Home Compare
   2. Pennsylvania Health Care Cost Containment Council
3. Role of non-governmental organizations
   1. Joint Commission / NCQA /
   2. Leapfrog Group and other collaboratives

Answer 1

a, Performance-based strategies having a link with financial incentives for health care providers to achieve better value. pay-for-performance, bundled payment program, accountable care organization impact on these strategies. Public and private payers using a value-based purchasing strategy for quality and improvement increase in private payers. pay for performance programs implemented by private, sector payers for increase the performance and financial incentives improve the care. ACOs and bundled payment programs also include quality and cost-effectiveness. It will best support successful implementation and incentives for providers for reward and penalities based on benchmark target to quality and efficiency, ACOs doctors, hospital who privide coordinated care for the patient. payment models provider reimbursement to performance on quality and cost reduction. under ACO providers taking the financial risk and share, the improved care to achieve quality and target payment under ACO. Bundle payment in which health care providers expected costs for their bundle of health care services as per quality performance accountability.
b, Role of government:
Public reporting for quality and cost health care system provides quality and patient satisfaction. public reporting for federal, state and local government improve national strategy for quality improvement. Agency for health care research and quality(AHRQ) and Centers for Medicare and Medicaid Services(CMS) works with public, private stakeholders to report quality measures provide hospital payment as per providers achieve the target to deliver high-quality care. Pennsylvania health care cost containment council value-based payment delivers quality, efficient care this comprehensive care payment system helps providers to prevent health problems and reduce the cost of successful treatment. cost for the same treatment varies among providers in the Pennsylvania health care cost containment council. medicare rules do not prevent hospital receive outlier payments Pennsylvania health care cost containment council comprehensive care payment give incentives for providers to avoid unnecessary services.