Health Affairs, 26, no. 6 (2007): 1674-1682 doi: 10.1377/hlthaff.26.6.1674 © 2007 by Project HOPE	New Online Disparities in Health:   Obama aide on legislation   Smedley call to action   Shrink regulations first   A Real Policy Debate   Top 10 HA Articles Of '07

This Article Figures Only Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Rosenthal, M. B. Articles by Epstein, A. M. Search for Related Content PubMed PubMed Citation Articles by Rosenthal, M. B. Articles by Epstein, A. M. Related Collections Business Of Health Health Reform Quality Of Care Health Spending

Health Tracking

MARKETWATCH

Climbing Up The Pay-For-Performance Learning Curve: Where Are The Early Adopters Now?

The diffusion of performance-based payment incentives is arguably the most striking change in the U.S. health care system since the managed care era. Because there is little knowledge about best practices, sponsors of payment-incentive programs must learn by doing. We examine the experiences of twenty-seven early adopters and profile the evolution of their pay-for-performance (P4P) strategies as well as perceptions of key lessons learned. Our findings suggest that leading-edge sponsors of P4P have expanded the reach of their efforts, particularly with regard to specialists, and increasingly are focused on outcome and cost-efficiency measures, rather than clinical process measures alone.

                      What's this?