Healthcare Pay for Performance

Pay for Performance – what do you think?


Here it comes…pay-for-performance sounds like a good concept but runs into problems with definitions and ultimately, who sets them. Patient satisfaction is about as vague a measure as possible and creates, like all incentives, unintended consequences when health systems try to comply.  Outcomes?  Is it reasonable to force our health systems to take responsibility for our lifestyle choices?  In other parts of the economy, the market makes the choice – those that provide value are rewarded with survival and those that don’t provide value don’t last.  Healthcare has many nuances but it it seems counter-productive to try to legislate quality with financial incentives when consumers are more than capable of making the choices themselves.  Government or insurance, the result is nearly the same; someone else is choosing how to motivate or punish our care giver.  Should we be working harder to open up competition or continuing to let payors shrink our options?

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Betsy Bigler | Mar 7th, 2024
INDIANAPOLIS, March 7, 2024 – Northwind has announced the addition of Tony Purkey as Senior Vice President, Client Strategies. “Demand from our self-funded employer and union clients is driving rapid growth,” said Phillip Berry, CEO. “Tony Purkey joins Northwind at a time when we need high-integrity leaders with expert knowledge in employer-sponsored health and the … more »

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Voices Lost in the Noise

Phillip Berry | Jan 31st, 2024
In the health benefits world, the mad scramble toward January renewals/starts has subsided and attention has turned to the annual cycle of review necessary to gauge progress. How did we do? The plan review process generally centers on analytics to gauge progress or regress and to identify “areas of opportunity.” Good. The right data with … more »

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