Physician pay-for-performance. Implementation and research issues Journal Article uri icon
Overview
abstract
  • Recent research underscores the gaps that exist between evidence-based medical practices and the care that many patients actually receive. Recognizing this, large purchasers are experimenting with new reimbursement arrangements called pay-for-performance (P4P) that tie a portion of payments for physician services to measures of quality. Agency theory, from the discipline of economics, provides a perspective on the challenges P4P is likely to encounter. The focus of most P4P initiatives on medical group performance raises additional questions about its potential effectiveness as a catalyst for change.

  • Link to Article
    publication date
  • 2006
  • published in
    Research
    keywords
  • *Reimbursement, Incentive
  • Employee Performance Appraisal
  • Evidence-Based Medicine/standards
  • Group Practice/economics/standards
  • Health Services Research
  • Physician Incentive Plans/*economics
  • Practice Patterns, Physicians'/economics/standards
  • Quality Assurance, Health Care/*economics
  • Additional Document Info
    volume
  • 21 Suppl 2