The Unintended Consequences of P4P
Pay-for-performance (P4P) may be better at improving documentation of outcomes rather than actually improving outcomes. Farmer, Black and Bonow give the following example: Beginning in the fourth quarter of 2008, [CMS] ceased to reimburse for costs due to selected preventable adverse events, including patient safety indicator 5 (PSI-5) (leaving a foreign object in the body…