Under the CMS Pay for Performance Program, what happens to providers in the top 10%?

Providers in the top 10% under the CMS Pay for Performance Program receive enhanced reimbursement as a recognition of their high-quality services and performance. This program incentivizes healthcare providers to improve the quality of care delivered to patients by tying a portion of their reimbursement rates to quality metrics and performance outcomes. The enhanced reimbursement is a financial reward for those who excel, which serves to motivate healthcare providers to continue striving for excellence in patient care.

The program is designed to promote better health outcomes and improve patient experiences, aligning financial incentives with the goal of delivering high-quality healthcare. This enhances not only the financial viability of high-performing providers but also encourages a culture of quality improvement across the healthcare system.