The use of bonuses, financial incentives and sanctions have become common tools for managed care organizations seeking to save costs. What guidelines should there be for employees of such organizations? How does an employee know when a cost saving decision which is good for the organization’s bottom line has interfered with proper patient care? What if a nurse is in charge of budgeting and denial of care on a patient would produce a bonus for that nurse at the end of the year?
Based on your readings, discuss what have you learned about high performance and balanced scorecard/competing forces? Are measures missing? What measures are superior? (As always, be sure to draw from and cite relevant reference materials)