From the Medinnovation blog, a good piece on the perspective of P4P initiatives.    Seems like all of the SCHIP talk and the impact on therapy caps, fee schedule, and exception process has negated any momentum on P4P measures in PT-and for this I am thankful.

I have contended that P4P is:

1. A buzzword without any clear definition and therefore more “feel good” than substantive.  Like all buzzwords and fads, it too shall pass.

2.  Any attempt at P4P in PT will only increase our administrative cost of providing service and compliance will be so poor and inconsistent that anything meaningful gleaned will be suspicious.

3. P4P is really pay for non performance or to use Regina Herzlinger’s phrase, “pay for conformance”.  The quality indicators that are typically done in the P4P trials are metrics that do not translate well to PT.

Seems that the perspectives as pointed out on the blog piece tell an interesting story with clear differences in success.

Larry