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The latest wrinkle is "pay-for-performance," an idea that has found favor at the federal level.
The authors doubt that pay-for-performance systems can accurately attribute responsibility for the outcome of care for such patients.
Present pay-for-performance systems measure good performance based on specified clinical measurements, such as glycohemoglobin for diabetic patients.
Here, there is pay-for-performance in a looser sense over a longer time period.
According to recent studies, however, there are key differences in how pay-for-performance models influence federal employees in public service roles.
This will allow the pay-for-performance approach to be field-tested and refined before it is implemented on a wider scale.
The company was the first pay-for-performance online rental site, a business model that outperformed competitors who went with subscriptions, listing fees, or costs-per-lead revenue models.
The first trial run of a pay-for-performance system came in the late 1970s.
In addition to value-based reimbursement models, such as pay-for-performance programs and accountable care organizations, there is a resurgence of interest in concierge and direct-pay practice models.
Contracts are issued for fixed-price, pay-for-performance milestones.
These salaries would be based on a pay-for-performance scale, in which players with less than six years of experience would be compensated based on a ranking against their peers.
Leapfrog asked hospitals to voluntarily complete an annual survey to report on their safety practices, and these results were made public and, in some cases, became embedded in pay-for-performance programs.
These perplexing and inconsistent results between the private and public sectors led academia to question why pay-for-performance programs in the public sector were not as effective.
