P4P is the reimbursement incentive that is based on quality improvement, efficiency, which is dominating the healthcare landscape and CMS. A literature review was conducted to search for and review significant information regarding P4P and how it pertains to chronic conditions and reimbursement methods. This literature review displayed while some programs were able to display a benefit/ profit for those involved such as insurance companies, hospitals, physicians and/or patients, most programs were unable to establish quality measures, cost effectiveness and positive program outcomes worth noting.
Conley, D., Coustasse A. Financial incentives: Pay for performance (P4P) and the chronically ill patients. Business and Health Administration Association Annual Conference 2012. Paper presented at the Business and Health Administration Association (BHAA) Annual Conference 2012, at the 48th Annual Midwest Business Administration Association International Conference. Chicago, Illinois. Mar 2012.