By the way it’s currently designed and implemented, it certainly seems that way.
Medicare seems intent on burying the P4P concept. Bob Doherty notes that “successful quality improvement programs provide regular feedback to clinicians on how they are doing. Rewards for reporting should be greater than the costs and hassles of reporting. The rewards should be predictable (if I do x, I will receive y). And the timing of providing the rewards should be closely linked to when the reporting took place.”
None of this is true with Medicare’s piss-poor attempt at linking payments to quality measures.