Yes there’s a bit of satire in the title here and Pay for Performance is looking to be on it’s way to ultimate confusion with “overkill” as all the processes take time and it’s still the human business so by the time hospitals align to squeak out every last penny in 
efficiencies I hope there’s some humans left here that still know how to offer care. I worked in sales for many years and that is definitely the place where pay for performance belongs by all means. It worked for me for years.
I tend to say away from all the ranking reports and websites on this blog as the only ones that really apply are the hospital you are in and the doctor you are consulting, and this is not taking away from doing homework ahead of time by all means for facilities that provide the services you need, but the over all rankings has been way overdone as marketing comes into the picture here. Patients just want good care, hospitals and doctors. If your surgery is done by a hospital that is not on the top 100 list and it is a success, does that matter? Not really if your treatment is a success. In case you missed other WellPoint news this week they are selling off some debt.
WellPoint Offering to Sell Off 1 Billion in Debt With Notes and Bonds
The problem with over worked pay for performance algorithms is that it eventually rots away at the exact goal we are trying to reach, better care for the best cost. Many doctors I speak with are flat out tired of all of it as they pay some pretty high malpractice premiums too, so a little bit of Pay for Performance money takes a back seat here compared to what potential legal costs and insurance costs them.
When you have a for profit company structuring pay for performance with dividends up front, the P4P becomes a little less meaningful when it comes to care. Here’s an example of the red tap this creates with another carrier.
Hospitalists, Peer Committees and Utilization Struggle to Comprehend United HealthCare Algorithms
We certainly need analysis services today to see how we are doing but where’s the balance with care and budgets? BD
INDIANAPOLIS, Aug 05, 2010 /PRNewswire via COMTEX/ -- WellPoint, announced today its support of efforts by the Office of the National Coordinator for Health Information Technology (ONC) on meaningful use of health information technology (HIT). In support of meaningful use, WellPoint will align its Pay for Performance incentives with Federal programs and implement a new financing program that supports HIT for rural, critical access hospitals serving underserved communities.
"Providing information and clinical decision support at the point of care will promote higher quality, evidence-based care with better patient outcomes," said Dr. Sam Nussbaum, WellPoint's chief medical officer. "The adoption of meaningful use criteria for Health IT will create opportunities for new collaborations amongst physicians, hospitals, patients, and health plans to share information for better care coordination, prevention services, management of chronic illness and overall clinical decision making. Although the industry wide conversion to an electronic world is planned to take over five years, WellPoint is already working on opportunities to optimize the emerging infrastructure and data standards."
WellPoint Supports Efforts to Adopt Health Information Technology - MarketWatch
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