Reimbursement Systems for Healthcare: Considerations on “Pay for Performance”

Demographic changes, limited healthcare budgets and performance-based attitudes for medical therapies have led to Pay-for-performance programs in healthcare. Here, consumer (patient), provider (physicians and nursing staff) and payer (patient and health insurance funds) are all involved. To reach targets based on measurable quality indicators, incentives are provided for the efficient use of medical resources and medical devices. The establishment of such key factors needs a consensus among the involved stakeholders to be successful. This consensus can only be reached if the interests of these groups are balanced, beard in mind and special attention is paid to such a complex process. Artificial intelligence-based analyses of large patient databases may be of help in improving this situation. Medical devices underwent a metamorphosis from a simple instrument to a complex tool allowing for sophisticated performances and the active, online interaction with treatment modalities. Innovative devices allow for covering preventively responsibilities in medical care and impact disease management. Vertically structured companies can serve as a model for successful corporates in medical device technology.