The Case for Performance-based Pay in Healthcare In recent years, the idea of performance based pay in healthcare has become more and more popular. This idea, commonly referred to as P4P, is essentially a value-based purchasing program. This means that payment to healthcare participants (doctors, medical facilities, hospitals, and so forth) is provided based on specific performance measures which attest to the quality and efficiency of the care (Value-based purchasing for physicians under Medicare, 2005, p. 53). Critics of P4P claim that the system is flawed because many participants will ultimately tilt their healthcare systems to meet the performance criteria while neglecting other critical aspects of medical and healthcare operations....The end:
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