Slide Presentation from the AHRQ 2007 Annual Conference

Strategic Issues: Getting Started

• Voluntary vs. mandatory:
  • Voluntary: easier, may only attract high-performing providers
  • Mandatory (i.e., written into all contracts): creates uniform incentives, but may need high market share
  • Bonus program is in between: "mandatory", but providers are free to ignore it
• Phasing in: start with volunteers, or "pay for participation"/"pay for reporting"