The impact of pay-for-performance on health care quality in Massachusetts, 2001-2003

Health Affairs

Volumn 27, Issue 4, 2008, Pages 1167-1176

  Pearson, Steven D ^a   Schneider, Eric C ^b   Kleinman, Ken P ^c   Coltin, Kathryn L ^c   Singer, Janice A ^d  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^c HARVARD PILGRIM HEALTH CARE   (United States)

^d Massachusetts Health Quality Partners   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE INDUSTRY; HEALTH CARE MANAGEMENT; HEALTH CARE PRACTICE; HEALTH CARE QUALITY; HEALTH INSURANCE; HEALTH PROGRAM; HEALTH SERVICE; HUMAN; UNITED STATES;

HUMANS; INSURANCE, HEALTH; MASSACHUSETTS; PHYSICIAN INCENTIVE PLANS; QUALITY OF HEALTH CARE; REIMBURSEMENT MECHANISMS;

EID: 48149097730     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.27.4.1167     Document Type: Article

References (24)

1. A.M. Epstein, "Paying for Performance in the United States and Abroad," New England Journal of Medicine 355, no. 4 (2006): 406-408.
2. See also P. McNamara, "Quality-Based Payment: Six Case Examples," International Journal for Quality in Health Care 17, no. 4 (2005): 357-362;
3. and M.B. Rosenthal et al., "Paying for Quality: Providers' Incentives for Quality Improvement," Health Affairs 23, no. 2 (2004): 127-141.
4. Rosenthal et al., "Paying for Quality."
5. See also M.B. Rosenthal et al., "Pay for Performance in Commercial HMOs,quot; New England Journal of Medicine 355, no. 18 (2006): 1895-1902.
6. Leapfrog Group, "Leapfrog Hospital Rewards Program," https://leapfrog.medstat.com/rewards (accessed 10 January 2008).
7. J.K. Iglehart, "Linking Compensation to Quality - Medicare Payments to Physicians," New England Journal of Medicine 353, no. 9 (2005): 870-872;
8. and K. Milgate and S.B. Cheng, "Pay-for-Performance: The MedPAC Perspective," Health Affairs 25, no. 2 (2006): 413-419.
9. See Epstein, "Paying for Performance in the United States and Abroad";
10. T. Fong, "Unfulfilled Potential: More Performance Pay Would Improve Care: NCQA," Modern Healthcare 34, no. 39 (2004): 12;
11. A.M. Epstein, T.H. Lee, and M.B. Hamel, "Paying Physicians for High-Quality Care," New England Journal of Medicine 350, no. 4 (2004): 406-410;
12. and Institute of Medicine, Rewarding Provider Performance: Aligning Incentives in Medicare (Washington: National Academies Press, 2006).
13. See L.A. Petersen et al., "Does Pay-for-Performance Improve the Quality of Health Care?" Annals of Internal Medicine 145, no. 4 (2006): 265-272;
14. M.B. Rosenthal and R.G. Frank, "What Is the Empirical Basis for Paying for Quality in Health Care?" Medical Care Research and Review 63, no. 2 (2006): 135-157;
15. and M.B. Rosenthal et al., "Early Experience with Pay-for-Performance: From Concept to Practice," Journal of the American Medical Association 294, no. 14 (2005): 1788-1793.
16. R.A. Dudley, "Pay-for-Performance Research: How to Learn What Clinicians and Policy Makers Need to Know," Journal of the American Medical Association 294, no. 14 (2005): 1821-1823.
17. M.W. Friedberg et al., "Does Affiliation of Physician Groups with One Another Produce Higher Quality Primary Care?" Journal of General Internal Medicine 22, no. 10 (2007): 1385-1392.
18. For details, see the MHQP home page at http://www.mhqp.org.
19. Friedberg et al., "Does Affiliation of Physician Groups with One Another Produce Higher Quality Primary Care?"
20. For a technical description of the analytic strategy and statistical methods, see online Technical Appendix A at http://content.healthaffairs.org/ cgi/content/full/27/4/1167/DC1.
21. National Committee for Quality Assurance, The State of Health Care Quality, 2004 (Washington: NCQA, 2004).
22. Rosenthal et al., "Pay for Performance in Commercial HMOs."
23. T. Doran et al., "Pay-for-Performance Programs in Family Practices in the United Kingdom," New England Journal of Medicine 355, no. 4 (2006): 375-384.
24. A. Mehrotra et al., "The Response of Physician Groups to P4P Incentives," American Journal of Managed Care 13, no. 5 (2007): 249-255.