Evaluation of Incentive to Quality Health Insurance: one year later

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Evaluation of Incentive to Quality Health Insurance: one year later -

Health Care Reform Changes Just over a year ago , Medicare launched a new incentive program for quality hospitals, rewarding and based penalizing two dozen quality measures such as patient satisfaction. This program was part of a major change to Medicare, which has traditionally compensated hospitals and doctors based on the type of services they provided patients regardless of the actual quality of care.

The

The program 'Purchase Program based on the value "established under the Law on health care began to retain 1 percent of hospitals in reimbursements in October last, and with plans to distribute $ 850 million to hospitals based on how they scored on patient experience surveys and their ability to follow basic clinical guidelines. as part of the program, hospitals have the opportunity to earn the amount they abandoned more even if they exceed the performance standards. Nearly 3,000 hospitals participated in the program.

the results

Now the second year of the Medicare program, government records show that more hospitals receive penalties as bonuses, the average sentence being steeper than last year. Medicare raised payments of about 1231 participating hospitals, while reducing the payment to hospitals in 1451

the bonuses and penalties are part of efforts by the health care law to encourage hospitals and physicians to deliver better patient care .; with scores based on how often hospitals follow clinical standards of basic care and how patients assess how they were treated. According to Dr. Patrick Conway, chief medical officer of health insurance, most hospitals have improved since the program began a year ago. However, even the hospitals that work well can still lose money simply because they do not score as well or have not improved as much as competitors hospitals.

Bonuses and penalties program comes at an uncertain time for the nation as HealthCare.gov technical issues of high profile and increased premium price raises doubts about the effectiveness of the law on health care. While the quality incentive program has received mixed feelings of hospital executives, many do acknowledge that the attention of the sudden government encouraged hospitals also pay more attention, thus improving patient care.

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