Impact of pay-for-performance on hospitals that care for minorities and the poor

The Foundation's Changes in Health Care Financing and Organization program was designed to support research, demonstration, and evaluation projects examining major changes in health care financing.The researchers under this project will examine the impact of financial incentives to improve quality on hospitals that care for minority or other underserved populations. The Centers for Medicare and Medicaid Services have implemented pay for performance (P4P) demonstrations, and are considering implementing P4P nationally. However, the impact of P4P has not been widely evaluated. Hospitals that care for underserved populations may have greater potential for quality improvement; conversely these facilities lack the tools and resources to improve quality and compete for the additional resources. The researchers will examine changes in quality for hospitals in the Medicare Premier P4P Demonstration that serve disadvantaged populations (minority and poor); these changes will be compared with changes in hospitals in the demonstration that do not serve disadvantaged populations and with hospitals that serve disadvantaged hospitals not in the demonstration (and not subject to P4P). The objective of the project is to provide more information about the impact of P4P on hospitals that serve disadvantaged populations, and help policy-makers to design incentive systems that encourage higher quality care without disproportionately harming hospitals that care for these populations.

Grant Details

Amount Awarded $101,656.00

Awarded on: 12/28/2007

Time frame: 2/1/2008 - 1/31/2009

Grant Number: 63743


Harvard University T. H. Chan School of Public Health

677 Huntington Avenue
Boston, 02115-6028


Ashish K. Jha
Project Director