A report (pdf) by Harold D. Miller, president and CEO of the Center for Healthcare Quality and Payment Reform, thoroughly explains the problems inherent in such payment strategies as pay for performance (P4P), CMS’ value-based payment program (VBP), and in fee-for-service. Titled, Measuring and Assigning Accountability for Healthcare Spending, the report raises questions about CMS’ value-based purchasing program and pay for performance in general while also explaining the deep flaws in fee for service payment. The report outlines what’s wrong with how commercial and government insurers pay for health care and how their methods of payment are not designed to produce the most desirable outcome: better patient health. Miller identifies and explains the fundamental problems with current spending methods and also gives examples of payment methods that would address these flaws.
