MD News

Serving the Bay Area Medical Community

Study Concludes Pay-for-Performance Works

Posted by Alex Gault on December 5, 2005

Doctors will provide higher quality care when given financial incentives to do so, concludes a 3 year study of 7 pay-for-performance (P4P) programs.

P4P programs have been gaining traction lately. The Centers for Medicare and Medicaid Services has launched 7 programs in hospitals, chronic care management and outpatient physician services — the “largest experiment in the country” for assessing P4P, said Suzanne Delbanco, CEO of the Leapfrog Group, a consortium of health care purchasers that provided technical assistance to the programs.

The study suggests that incentives need to be at least $5,000 per physician or perhaps as high as 10 percent of a physician’s income to make a difference.

Blue Cross of California is implementing a P4P project in San Francisco and plans to expand it statewide.

Funds for the projects came from the RWJF (Robert Wood Johnson Foundation), the CHCF (California HealthCare Foundation) and the Commonwealth Fund.


One Response to “Study Concludes Pay-for-Performance Works”

  1. Dr J Scott said

    Many interested medical billing and coding in a career in the healthcare industry, health claims examiners, and medial billing and coding specialist keep in mind that most private practices, organizations and hospitals throughout the country not only prefer but often medical billing and coding require national certification as a medical assistant.

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