Pay-for-Performance Research

Chronic Care Improvement in Primary Care: Evaluation of an Integrated Pay‐for‐Performance and Practice‐Based Care Coordination Program among Elderly Patients with Diabetes

“…Similar to other studies on P4P, our results yielded weak and mixed effects on a set of quality indicators, with only one out of five incentivized measures demonstrating significant improvement. With MCO patients constituting less than 10 percent of the intervention practices' patient panels, this study lends further support to the conclusion that P4P bonus payments that are small relative to total physician income may not be salient enough to shape physician and office practice behavior (Dudley 2005).…”

Aligning provider incentives to improve primary health care delivery in the United States

“…3 More pressing, is it even possible to reach the goal of a payment system that promotes both increased quality and reduced costs? 13, 50 This paper was intended to shed some optimistic light on how we might meet this challenge with regards to the reimbursement of primary care providers. We hope that our illustration of the theoretic potential of blended payments will encourage further research and development of blended payment models.…”

Payment for performance (P4P): any future in Italy?

“…This information gap may be due to the fact that until now these details were never requested or subject to evaluation. As has been the case in the USA, the introduction of a P4P program is likely to result in rapid improvement in the reporting of these measures, primarily thanks to improved documentation of clinical activities [10,21-23,25-27]. Clinical data will continue to be difficult to obtain, especially in the absence of widespread use of electronic record supports, but the measurement may offer the opportunity to train physicians to comply with guidelines and to document their work better.…”