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The Trouble With Pay-for-Performance



The author of a study on pay for performance in healthcare, says there is little evidence to support that incentives for following certain processes that have been proven to add value… actually improve quality or value.



1 comments on "The Trouble With Pay-for-Performance"
Stefani Daniels (10/28/2013 at 3:46 PM)

First of all, the incentive/penalty cycle should not be directed at hospitals. Under that scenario it is presumed that the hospitals can control/influence medical practice and history has proven that its a hard nut to crack in the current culture. Second, the only strategy that has reaped real change over the years is transparency of data/outcomes. The literature if filled with studies on how hospitals and physicians have changed culture and processes when they know that the outcomes will be viewed by the payers and the rest of the world. Just look at NY State - until they published mortality data associated with open heart surgery, people were dying too frequently. Now, its quite a different story. Published physician specific data and they will change too