ABSTRACT

A growing number of programs in the United States are testing different payment systems. Many of these programs are called pay-for-performance (P4P) to reflect the linkage of payment tied to performance levels. Healthcare Transformer 3, payment reform (see Figure 9.1), includes both P4P and other fundamental payment models that have yet to be tested on a broad scale but are quickly emerging. Designing, implementing, and learning from P4P and other payment reform programs are instrumental to fundamentally changing the vast and increasing financial facet of healthcare.