“Pay-for-performance” refers to initiatives that provide financial incentives to health care providers to carry out improvements focused on achieving optimal patient outcomes.
The RAND Corporation conducted two studies to evaluate different methods of creating profiles that compare physicians based on the cost of the care they provide. This report summarizes the results of the studies.
Researchers for the Pacific Business Group on Health developed an evidence-based method to score physicians on the health care they provide and a mechanism by which physicians could correct data on their performance. This report summarizes the key results.
While pay-for-performance incentives have traditionally been aimed at rewarding preventive service delivery in primary care practices, this observational study published by the American Journal of Health Promotion looked at the association of pay-for-performance and behavioral patient counseling offered for smoking cessation.
According to this study published in Medical Care, even for a large insurer with a significant market share, the reliable measurement of performance is challenging due to data limitations. This suggests mechanisms must be developed for multiple stakeholders to collaborate and pool patient data.
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September 19, 2013 | Story
RWJF Investigator tests impact of incentives for clinicians, and draws conclusions with implications for health reform.
September 11, 2013 | Journal Article
A pay-for-performance (P4P) incentive program targeting the proportion of patients achieving measures of preventive services resulted in modest improvements in cardiovascular care.
September 11, 2013 | Journal Article
Individual financial incentives (but not practice-level or combined) resulted in greater hypertension care, yet the effect of the incentive was not sustained after a washout period a new study finds.
July 1, 2013 | Journal Article
This article evaluates quality and the effect of pay for performance among minority patient groups, during a pay-for-performance program in 22 primary care practice sites.
October 11, 2012 | Issue Brief
"Pay-for-performance" programs are supposed to replace traditional fee-for-service care under the Affordable Care Act. Yet studies show pay-for-performance programs have yielded mixed results.
March 1, 2012 | Journal Article
While pay for performance (P4P) incentives have traditionally been aimed at rewarding preventive service delivery in primary care practices, this observational study looked at the association of P4P and behavioral patient counseling offered for smok ...
February 1, 2012 | Journal Article
Pay-for-performance (P4P) programs can boost care quality and lower costs, but might have unintended effects on racial and ethnic disparities. This research highlights the need to consider the impact of P4P on disparities.
February 1, 2012 | Journal Article
Even for a large insurer with a significant market share, the reliable measurement of performance is challenging due to data limitations, according to this study. This suggests mechanisms must be developed for multiple stakeholders to collaborate an ...
February 27, 2011 | Toolkit
Building clinical collaboration and a strong consensus behind the pilot will significantly improve your chances of success.
February 1, 2011 | Journal Article
Researchers conducted interview of hospital leaders and unit nurses in 25 hospitals to explore the effect of performance-based incentives.