What are Pay-for-Performance Programs?

Pay-for-Performance (P4P) programs are healthcare payment models that reward providers financially for meeting specific quality measures, efficiency standards, and patient outcome goals. These programs shift reimbursement from volume-based to value-based care by tying a portion of provider payments to performance metrics such as patient satisfaction scores, preventive care rates, hospital readmission rates, and treatment outcomes.

Why pay-for-performance programs matter

• Improves care quality: Incentivizes providers to focus on patient outcomes rather than service quantity
• Reduces healthcare costs: Encourages efficient care delivery and preventive services
• Enhances accountability: Creates measurable standards for healthcare performance

How Solace can help

A Solace advocate can help you understand how pay-for-performance programs affect your care, identify providers participating in these quality initiatives, and interpret performance metrics when choosing healthcare providers. Advocates can also help address concerns if you feel quality measures are affecting your access to needed services.