Dismissing the Noncompliant: Is This What We've Come To?
There is a cost to running a practice in the form of supplies, salaries, utilities, etc. Providers have their own individual financial obligations toward their education, raising a family, and retirement, among other things. Providers at one time received a fee for each patient seen. The number of patients seen impacted the bottom line, not whether or not their instructions were followed. Pay for performance is a concept that started in 2001 and is now very popular among private insurers, Medicaid, and Medicare. Providers are now rated according to quality results; for example, a few of the measures viewed include percentage of patients with a blood pressure < 140/80 mm Hg, percentage of eligible women who get their mammogram every 2 years, and percentage of diabetics with glycated hemoglobin > 9 g/dL. A provider may receive a bonus for each female who gets a mammogram or a bonus if the comparative ranking among peers meets criteria. A provider can lose money in the form of forfeited rate increases if statewide means are not reached.
Financial
There is a cost to running a practice in the form of supplies, salaries, utilities, etc. Providers have their own individual financial obligations toward their education, raising a family, and retirement, among other things. Providers at one time received a fee for each patient seen. The number of patients seen impacted the bottom line, not whether or not their instructions were followed. Pay for performance is a concept that started in 2001 and is now very popular among private insurers, Medicaid, and Medicare. Providers are now rated according to quality results; for example, a few of the measures viewed include percentage of patients with a blood pressure < 140/80 mm Hg, percentage of eligible women who get their mammogram every 2 years, and percentage of diabetics with glycated hemoglobin > 9 g/dL. A provider may receive a bonus for each female who gets a mammogram or a bonus if the comparative ranking among peers meets criteria. A provider can lose money in the form of forfeited rate increases if statewide means are not reached.
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