Physician Performance-Based Incentive Programs
Physician Performance-Based Incentive Programs Wednesday, July 16, 2014
Traditional compensation systems create little or no incentive for physicians to focus on quality improvement activities or manage costs. Many payment systems for physicians are based on a fee-for-service model that encourages them to perform reimbursable procedures only and use resources without regard to cost. New payment structures are creating incentives for physicians to deliver high-quality rather than volume-driven care.
The featured policy Innovations describe three programs that offered financial incentives to physicians based on their performance in meeting clinical care improvement goals and on various metrics of efficiency and quality.
The featured QualityTools include an interactive tool that helps practitioners determine their payment adjustments and reimbursements for Medicare incentive programs; a resource that provides community collaboratives with practical information and guidance on the design, dissemination, and use of feedback reports on physician performance; and a toolkit for health plans and providers, with step-by-step instructions for implementing a bundled fee payment system covering all patient services related to an illness, condition, or procedure.
- Health Plan's Multifaceted Strategy Involving Care Coordination, Disease Management and Physician Incentives Leads to Better Outcomes and Reduced Costs for Medicare Advantage Enrollees
- Hospital-Affiliated Physician Group Offers Modest Performance-Based Incentives to Salaried Physicians, Leading to Sustained Improvement on Quality-Related Metrics
- Hospital Gain-Sharing Program Offers Incentives to Physicians Based on Their Efficiency, Producing Significant Cost Savings Without Decline in Quality
Also in This Issue:
- Rapid HIV Testing Program Enhances Access to HIV Education and Screening for At-Risk African-American and Hispanic Youth
- Community Health Workers Offer Culturally Tailored Interactive Workshops and Counseling to Filipino Americans, Leading to Improvements in Medication Adherence and Cardiovascular Risk Factors