What concept addresses the relationship between quality improvement and reimbursement?

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The concept that best addresses the relationship between quality improvement and reimbursement is pay-for-performance (P4P). This model directly links financial incentives to the quality of care provided. Under P4P programs, healthcare providers are rewarded for meeting specific quality benchmarks and performance metrics. The emphasis is on encouraging improvements in care delivery, enhancing patient outcomes, and ensuring that services are performed with high standards.

In the P4P framework, providers are often evaluated based on clinical outcomes, patient satisfaction, and adherence to clinical guidelines. The intention is to motivate healthcare providers to focus more on the quality aspect of their services, which can lead to better health outcomes and a more efficient healthcare system overall.

While value-based care is also concerned with improving healthcare quality, P4P specifically outlines a structure where reimbursement is contingent upon performance. Bundled payments and cost-plus reimbursement models do not focus primarily on direct connections between quality improvements and reimbursement incentives, making P4P the most relevant choice in this context.

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