Pay for performance reimbursement is a key concept in the healthcare quality movement. The goal is simply to improve healthcare safety, outcomes, and value by tying provider payment to quality performance. The system has moved from fee for service to fee for value. The challenge however is understanding how to measure quality. Medtel does just this; it is easy to use, provides reliable and repeatable clinical data, identifies risk at the earliest opportunity and identifies operational efficiencies and controls costs while systematically achieving value based reimbursement