Advocates for Evidence-Based Health Policy Speakers
Category: Pay for Performance (P4P)
P4P in Nursing Homes
Nursing homes receive the majority of their income through Medicaid. Thus, state administrators wield a powerful lever for improving quality in nursing home care through pay-for-performance programs. Amidst increasing pressure for higher quality and lower cost health care, monetary incentives Continue Reading …
A Randomized Trial of P4P
Pay-for-performance incentive programs are commonplace now among many health care payers. A new study out of California reports on the effect of the frequency of bonus payments on clinician quality improvement. initiatives rest on the premise that quality in Continue Reading …
Redesigning Provider Payment
A recent Health Affairs article explored several options and considerations for converting the current system of provider payments into one where all payments are bundled together for a patient’s entire episode of care. Health care providers are compensated by several Continue Reading …
Missing the Mark on Pay-for Performance: Questionable Validity in Quality Metrics Limit Medicare P4P Program in Orthopedic Surgery
This study, using administrative data, aimed to evaluate the metrics used in a Medicare Pay-for-Performance (P4P) project in 2003, which included 260 hospitals across 38 states, with plans to expand nationally in 2009. Arthroscopic surgery is an ideal candidate condition Continue Reading …
Pay-for-Performance Update
RAND researchers investigated the nations largest pay-for-performance (P4P) system, California’s Integrated Healthcare Association’s P4P. This system represents 225 independent practice associations and integrated medical groups covering over 6 million patients. The enrollees of this program have insurance coverage which provides Continue Reading …