Center for Medicare and Medicaid Services’ (CMS) has had long time efforts to tie Medicare’s payment system to a value based system, which in turn improves the healthcare quality outcomes and more importantly, improves care provided in the inpatient setting.2 In the reform of healthcare in the United States, the transition from Fee for service to a value based system has initiated many challenges faced by the healthcare system. Today, healthcare systems are required to report on Medicare quality measures that determine the way the get paid. This shift has created a new way in which participating hospitals are paid. Instead of being paid for the amount …show more content…
The main objective of an ACO is to make sure patients receive right care at the right time as well as avoiding preventable duplication of services and medical errors.4
Hospital Value Based Purchasing is a system used to adjust hospitals’ payments based on how they perform in for different domains.5 These four domains reflect the quality of services. The four domains include; the clinical process of care, the patient experience, the outcome, and the efficiency. This system has helped raised the focus on quality and patient perception of care. This has in turn raised expectations from hospitals and a need for more than just providing care is