While financial incentives influence physician behavior and moderately improve quality measures, non-incentivized providers targeted with other quality measure efforts have greater performance improvement, according to a recent study published by the JAMA Network. A combination of interventions, IT advancements and close contact support are responsible for greatest improvements in quality measures, said Sean Gleeson, MD, medical director, Partners for Kids at Nationwide Children's Hospital and one of the study's authors. "P4P is good, but it's not enough to make the greatest impact," he adds. "What's important is that all groups saw positive impacts. All physicians are growing in a positive direction."