In the US there is a growing movement in the provision of healthcare services from the traditional fee-for-service to fee-for-performance healthcare model of primary healthcare delivery. A typical example could be a patient with cardiovascular problems having a conventional healthcare team delivering treatment and monitoring the health. The team could comprise of a:
- Home care worker
In this model there would be financial rewards for doctors, physicians, hospitals and other healthcare providers for meeting certain performance measures whilst penalising poor outcomes, medical errors and going over-budget.
A more effective integrative healthcare solution could be the incorporation of a Complementary and Alternative Medicine (CAM) practitioner(s) into this model to provide a comprehensive holistic care model.
Perhaps this delivery system based on ‘fee-for-performance’ model may provide a more efficient healthcare delivery, but factors such as coordinating and monitoring the program, Medicare costs, and accounting will be major challenges to overcome.