Pay for Performance

Pay for Performance (P4P) is a new reimbursement strategy by the Center for Medicare and Medicaid Services (CMMS).  Historically, hospitals and physicians were paid regardless of whether or not a patient had a successful.  The new plan hopes to stimulate improved methods of practicing medicine and to limit, if not eliminate, errors and injuries to patients.

This essay outlines the history and rationale for P4P.  As I discuss in the essay, the issues that impact the quality of the care we deliver to our patients is complex.  But as physicians, it is our fiduciary responsibility to insure that the correct structure and processes exists to achieve the most favorable outcomes for our patients.

Recent Posts

Why Social Media?

Why Social Media?

Why would a heart surgeon spend time creating social media content? Dr. Raymond Singer shares why education has always been at the heart of his mission and how today’s digital platforms allow physicians to reach and empower thousands of patients with accurate, compassionate, evidence-based medical information.

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The Legacy We Leave Behind

The Legacy We Leave Behind

Success is often measured by accomplishments, titles, and recognition, but the greatest legacy we leave is found in the lives we touch. Dr. Singer reflects on the enduring impact of compassion, mentorship, and service, reminding us that our influence extends far beyond our careers.

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250 Years of Medicine

250 Years of Medicine

Philadelphia is known as the birthplace of American democracy, but it is also the birthplace of American medicine. Dr. Raymond Singer reflects on the physicians, hospitals, and medical institutions that transformed healthcare and continue to shape medicine 250 years later.

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The Most Dangerous Emotion

The Most Dangerous Emotion

Anger is more than an emotion. It places real physical stress on the heart, raising blood pressure, increasing stress hormones, and contributing to cardiovascular disease. Dr. Raymond Singer discusses the medical effects of chronic anger and why choosing kindness, patience, and compassion benefits both our emotional well-being and our hearts.

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Leadership is About Standards

Leadership is About Standards

Leadership is not about titles. It is about standards. The best leaders don’t ask others to do what they are unwilling to do themselves. They set the tone through integrity, consistency, humility, and kindness. Every interaction, every decision, and every challenge...

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