The American Hospital Association said it is concerned many pay-for-performance approaches have resulted in payment penalties, inequities and other serious consequences that have adversely affected hospitals and the patients they serve. In a Jan. 24 comment letter to the CMS, the AHA said it believes that pay-for-performance, or value-based purchasing, holds merit, but there are important considerations the CMS should take into account to ensure such a programs success. For example, a pay-for-performance program should reward all hospitals rather than only the top 10%. The current Premier-CMS demonstration project, which is due to formally release some results Jan. 26, rewards the top-performing hospitals on a tiered basis and eventually penalizes lower-performing hospitals. When you limit it to the top 10%, it obviously limits the numbers who can succeed, said Nancy Foster, the AHAs vice president for quality and patient-safety policy. Read the letter. -- by Matthew DoBias
AHA warns against P4P inequities
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