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Related Experiment Video

Updated: Jun 26, 2026

Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver

Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver

Published on: July 31, 2016

BPH procedural treatment: the case for value-based pay for performance.

Mark Stovsky¹, Irina Jaeger

¹Department of Urology, Case Western Reserve University School of Medicine, University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106, USA. mark.stovsky@uhhospitals.org

Advances in Urology

|January 7, 2009

Summary

Pay for performance (P4P) in medicine shifts reimbursement from service-based to quality-driven payments. Value-based P4P can improve urologic care quality and cost-efficiency.

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Last Updated: Jun 26, 2026

Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver

Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver

Published on: July 31, 2016

Area of Science:

Health Economics
Medical Reimbursement Strategies
Urologic Care Quality Improvement

Background:

Pay for performance (P4P) is a key reimbursement strategy for healthcare providers.
P4P shifts from traditional fee-for-service to performance-based payments incentivizing care quality.
Current P4P models often use basic structure/process metrics with low thresholds.

Purpose of the Study:

To review current P4P paradigms in urologic care.
To advocate for a shift towards value-based P4P.
To align patient, physician, and payer interests for improved outcomes and cost-efficiency.

Main Methods:

Analysis of current P4P strategies in medicine.
Review of benign prostatic hyperplasia (BPH) procedural therapy outcomes.
Examination of cost and reimbursement data in urology.

Main Results:

Existing P4P strategies have rudimentary metrics and low thresholds.
Value-based P4P, utilizing evidence-based data and positive reinforcement, can enhance quality and cost-efficiency.
Aligning incentives through value-based P4P can improve global clinical outcomes.

Conclusions:

A fundamental shift to value-based P4P is proposed for urologic care.
Value-based P4P has the potential to align stakeholder interests and improve care quality and cost-efficiency.
This model supports free choice of effective treatments while optimizing outcomes.