The recent call from the Institute of Medicine for governmentpayers to increase payments to health care providers who deliverhigh-quality care is one of several signs that practicing doctorscan expect some fundamental changes in the way they are compensated.1,2Health care insurers and purchasers in the private sector havebegun moving along a similarly ambitious path.
Many physicians are already familiar with quality incentivesfrom their experience with managed care; such incentives beganas small payments for higher ratings of patient satisfactionor for the use of preventive services such as mammography.3These incentives have become so prevalent . . . [Full Text of this Article]
Origins
Goals and Rationale
Prototypical Systems
Bridges to Excellence
The Integrated Healthcare Association's Physician Payment Program
Anthem Blue Cross and Blue Shield Plan
The Challenges Ahead for Purchasers and Physicians
Conclusions
Related Letters:
Paying Physicians for High-Quality Care
Gosfield A. G., Reinertsen J. L., Verdery R. B., Mahendran M., Graap R. F., Epstein A. M., Lee T. H., Hamel M. B.
Extract |
Full Text |
PDF
N Engl J Med 2004;
350:1910-1912, Apr 29, 2004.
Correspondence
This article has been cited by other articles:
Johnston, S., Dahrouge, S., Hogg, W.
(2008). Gauging to gain: Primary care performance measurement. cfp
54: 1215-1217
[Full Text]
Johnston, S., Dahrouge, S., Hogg, W.
(2008). Gauger pour gagner: Mesure du rendement en soins primaires. cfp
54: 1220-1222
[Full Text]
Pearson, S. D., Schneider, E. C., Kleinman, K. P., Coltin, K. L., Singer, J. A.
(2008). The Impact Of Pay-For-Performance On Health Care Quality In Massachusetts, 2001-2003. Health Aff (Millwood)
27: 1167-1176
[Abstract][Full Text]
Ross, J. S., Keyhani, S., Keenan, P. S., Bernheim, S. M., Penrod, J. D., Boockvar, K. S., Federman, A. D., Krumholz, H. M., Siu, A. L.
(2008). Use of Recommended Ambulatory Care Services: Is the Veterans Affairs Quality Gap Narrowing?. Arch Intern Med
168: 950-958
[Abstract][Full Text]
McManus, R. J, Ryan, R., Jones, M., Wilson, S., Hobbs, F. R.
(2008). How representative of primary care are research active practices? Cross-sectional survey. Fam Pract
25: 56-62
[Abstract][Full Text]
Craig, T. J., Perlin, J. B., Fleming, B. B.
(2007). Self-Reported Performance Improvement Strategies of Highly Successful Veterans Health Administration Facilities. American Journal of Medical Quality
22: 438-444
[Abstract]
Chien, A. T., Chin, M. H., Davis, A. M., Casalino, L. P.
(2007). Pay for Performance, Public Reporting, and Racial Disparities in Health Care: How Are Programs Being Designed?. Med Care Res Rev
64: 283S-304S
[Abstract]
Desai, A. A., Garber, A. M., Chertow, G. M.
(2007). Rise of Pay for Performance: Implications for Care of People with Chronic Kidney Disease. CJASN
2: 1087-1095
[Abstract][Full Text]
Tentori, F., Hunt, W. C., Rohrscheib, M., Zhu, M., Stidley, C. A., Servilla, K., Miskulin, D., Meyer, K. B., Bedrick, E. J., Johnson, H. K., Zager, P. G.
(2007). Which Targets in Clinical Practice Guidelines Are Associated with Improved Survival in a Large Dialysis Organization?. J. Am. Soc. Nephrol.
18: 2377-2384
[Abstract][Full Text]
Campbell, S., Reeves, D., Kontopantelis, E., Middleton, E., Sibbald, B., Roland, M.
(2007). Quality of Primary Care in England with the Introduction of Pay for Performance. NEJM
357: 181-190
[Full Text]
Nalli, G. A., Scanlon, D. P., Libby, D.
(2007). Developing A Performance-Based Incentive Program For Hospitals: A Case Study From Maine. Health Aff (Millwood)
26: 817-824
[Abstract][Full Text]
Profit, J., Zupancic, J. A. F., Gould, J. B., Petersen, L. A.
(2007). Implementing Pay-for-Performance in the Neonatal Intensive Care Unit. Pediatrics
119: 975-982
[Abstract][Full Text]
Rodriguez, R. A., Sen, S., Mehta, K., Moody-Ayers, S., Bacchetti, P., O'Hare, A. M.
(2007). Geography Matters: Relationships among Urban Residential Segregation, Dialysis Facilities, and Patient Outcomes. ANN INTERN MED
146: 493-501
[Abstract][Full Text]
Werner, R. M., Asch, D. A.
(2007). Clinical Concerns About Clinical Performance Measurement. Ann Fam Med
5: 159-163
[Abstract][Full Text]
Himmelfarb, J., Henrich, W., DuBose, T.
(2007). Anemia of Kidney Disease and Clinical Practice Guidelines: Quo Vadis?. CJASN
2: 213-214
[Full Text]
Baker, D. W., Persell, S. D., Thompson, J. A., Soman, N. S., Burgner, K. M., Liss, D., Kmetik, K. S.
(2007). Automated Review of Electronic Health Records to Assess Quality of Care for Outpatients with Heart Failure. ANN INTERN MED
146: 270-277
[Abstract][Full Text]
Epstein, A. M.
(2007). Pay for Performance at the Tipping Point. NEJM
356: 515-517
[Full Text]
Lindenauer, P. K., Remus, D., Roman, S., Rothberg, M. B., Benjamin, E. M., Ma, A., Bratzler, D. W.
(2007). Public Reporting and Pay for Performance in Hospital Quality Improvement. NEJM
356: 486-496
[Abstract][Full Text]
Brush, J. E. Jr, Krumholz, H. M., Wright, J. S., Brindis, R. G., Cacchione, J. G., Drozda, J. P. Jr, Fasules, J. W., Flood, K. B., Garson, A. Jr, Masoudi, F. A., McBride, T., McKay, C. R., Messer, J. V., Mirro, M. J., O'Toole, M. F., Peterson, E. D., Schaeffer, J. W., Valentine, C. M.
(2006). American College of Cardiology 2006 Principles to Guide Physician Pay-for-Performance Programs: A Report of the American College of Cardiology Work Group on Pay for Performance (A Joint Working Group of the ACC Quality Strategic Direction Committee and the ACC Advocacy Committee). J Am Coll Cardiol
48: 2603-2609
[Full Text]
Werner, R. M., Bradlow, E. T.
(2006). Relationship Between Medicare's Hospital Compare Performance Measures and Mortality Rates. JAMA
296: 2694-2702
[Abstract][Full Text]
Rosenthal, M. B., Landon, B. E., Normand, S.-L. T., Frank, R. G., Epstein, A. M.
(2006). Pay for Performance in Commercial HMOs. NEJM
355: 1895-1902
[Abstract][Full Text]
Petersen, L. A., Woodard, L. D., Urech, T., Daw, C., Sookanan, S.
(2006). Does Pay-for-Performance Improve the Quality of Health Care?. ANN INTERN MED
145: 265-272
[Abstract][Full Text]
Blumenthal, D.
(2006). Employer-sponsored insurance--riding the health care tiger.. NEJM
355: 195-202
[Full Text]
Meehan, T. P., Wang, Y., Tate, J. P., Curry, M., Elwell, A., Petrillo, M. K., Holmboe, E. S.
(2006). Improving the quality of preventive cardiovascular care provided by primary care physicians: insights from a US Quality Improvement Organization. Int J Qual Health Care
18: 186-194
[Abstract][Full Text]
Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., Roth, E., Morton, S. C., Shekelle, P. G.
(2006). Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care. ANN INTERN MED
144: 742-752
[Abstract][Full Text]
Daaleman, T. P.
(2006). Reorganizing medicare for older adults with chronic illness.. J Am Board Fam Med
19: 303-309
[Abstract][Full Text]
Uhlig, K., Balk, E. M., Lau, J., Levey, A. S.
(2006). Clinical Practice Guidelines in nephrology--for worse or for better. Nephrol Dial Transplant
21: 1145-1153
[Full Text]
Peterson, E. D., Roe, M. T., Mulgund, J., DeLong, E. R., Lytle, B. L., Brindis, R. G., Smith, S. C. Jr, Pollack, C. V. Jr, Newby, L. K., Harrington, R. A., Gibler, W. B., Ohman, E. M.
(2006). Association Between Hospital Process Performance and Outcomes Among Patients With Acute Coronary Syndromes. JAMA
295: 1912-1920
[Abstract][Full Text]
Nobel, J.
(2006). Bridging the knowledge--action gap in diabetes: information technologies, physician incentives and consumer incentives converge. Chronic Illness
2: 59-69
[Abstract]
Moscucci, M, Share, D
(2006). Impact of health care initiatives on outcomes of acute coronary syndromes.. Heart
92: 293-295
[Abstract][Full Text]
Levin-Scherz, J., DeVita, N., Timbie, J.
(2006). Impact of Pay-for-Performance Contracts and Network Registry on Diabetes and Asthma HEDIS(R)Measures in an Integrated Delivery Network. Med Care Res Rev
63: 14S-28S
[Abstract]
Bokhour, B. G., Burgess, J. F. Jr., Hook, J. M., White, B., Berlowitz, D., Guldin, M. R., Meterko, M., Young, G. J.
(2006). Incentive Implementation in Physician Practices: A Qualitative Study of Practice Executive Perspectives on Pay for Performance. Med Care Res Rev
63: 73S-95S
[Abstract]
Baumann, M. H., Dellert, E.
(2006). Performance Measures and Pay for Performance. Chest
129: 188-191
[Abstract][Full Text]
Buetow, S. A.
(2005). To Care Is to Coprovide. Ann Fam Med
3: 553-555
[Abstract][Full Text]
Rosenthal, M. B., Frank, R. G., Li, Z., Epstein, A. M.
(2005). Early Experience With Pay-for-Performance: From Concept to Practice. JAMA
294: 1788-1793
[Abstract][Full Text]
Iglehart, J. K.
(2005). Linking Compensation to Quality -- Medicare Payments to Physicians. NEJM
353: 870-872
[Full Text]
Miller, R. H., West, C., Brown, T. M., Sim, I., Ganchoff, C.
(2005). The Value Of Electronic Health Records In Solo Or Small Group Practices. Health Aff (Millwood)
24: 1127-1137
[Abstract][Full Text]
Rosenfeld, S., Bernasek, C., Mendelson, D.
(2005). Medicare's Next Voyage: Encouraging Physicians To Adopt Health Information Technology. Health Aff (Millwood)
24: 1138-1146
[Abstract][Full Text]
Kaushal, R., Bates, D. W., Poon, E. G., Jha, A. K., Blumenthal, D., the Harvard Interfaculty Program for Health System,
(2005). Functional Gaps In Attaining A National Health Information Network. Health Aff (Millwood)
24: 1281-1289
[Abstract][Full Text]
Peterson, E. D.
(2005). Optimizing the Science of Quality Improvement. JAMA
294: 369-371
[Full Text]
Wettstein, R. M.
(2005). Quality and Quality Improvement in Forensic Mental Health Evaluations. J Am Acad Psychiatry Law
33: 158-175
[Abstract][Full Text]
Mello, M. M., Kelly, C. N., Brennan, T. A.
(2005). Fostering Rational Regulation of Patient Safety. Journal of Health Politics, Policy and Law
30: 375-426
[Abstract]
Weiner, M, Stump, T E, Callahan, C M, Lewis, J N, McDonald, C J
(2005). Pursuing integration of performance measures into electronic medical records: beta-adrenergic receptor antagonist medications. Qual Saf Health Care
14: 99-106
[Abstract][Full Text]
DiPiero, A., Sanders, D. G
(2005). Condition based payment: improving care of chronic illness. BMJ
330: 654-657
[Full Text]
Feddock, C. A., Hoellein, A. R., Griffith, C. H. III, Wilson, J. F., Bowerman, J. L., Becker, N. S., Caudill, T. S.
(2005). Can Physicians Improve Patient Satisfaction with Long Waiting Times?. Eval Health Prof
28: 40-52
[Abstract]
Weinberger, S. E., Duffy, F. D., Cassel, C. K.
(2005). "Practice Makes Perfect" ... Or Does It?. ANN INTERN MED
142: 302-303
[Full Text]
Casalino, L. P.
(2005). Disease Management and the Organization of Physician Practice. JAMA
293: 485-488
[Full Text]
Clancy, C. M., Cronin, K.
(2005). Evidence-Based Decision Making: Global Evidence, Local Decisions. Health Aff (Millwood)
24: 151-162
[Abstract][Full Text]
Himmelfarb, J., Pereira, B. J.G., Wesson, D. E., Smedberg, P. C., Henrich, W. L.
(2004). Payment for Quality in End-Stage Renal Disease. J. Am. Soc. Nephrol.
15: 3263-3269
[Full Text]
Thrall, J. H.
(2004). The Emerging Role of Pay-for-Performance Contracting for Health Care Services. Radiology
233: 637-640
[Full Text]
Califf, R. M., Ryan, T., Douglas, P., Goldschmidt-Clermont, P. J.
(2004). A time of accelerated change in academic cardiovascular medicine: Implications for academic divisions of cardiology and their training programs. J Am Coll Cardiol
44: 1957-1965
[Abstract][Full Text]
Roland, M.
(2004). Linking Physicians' Pay to the Quality of Care -- A Major Experiment in the United Kingdom. NEJM
351: 1448-1454
[Full Text]
Gosfield, A. G., Reinertsen, J. L., Verdery, R. B., Mahendran, M., Graap, R. F., Epstein, A. M., Lee, T. H., Hamel, M. B.
(2004). Paying Physicians for High-Quality Care. NEJM
350: 1910-1912
[Full Text]
Weintraub, W. S., Shine, K.
(2004). Is a Paradigm Shift in US Healthcare Reimbursement Inevitable?. Circulation
109: 1448-1455
[Full Text]
Previous
