Slide Presentation from the AHRQ 2007 Annual Conference

Concluding Comments

• P4P can lead to gains in clinical quality, but the magnitude of the gains may be quite modest and time-limited, particularly without substantial improvements in provider infrastructure for quality measurement and improvement.
• Physicians do appear comfortable with P4P as a concept, but have certain concerns with the way P4P programs have been designed and implemented.
• Program sponsors face many daunting challenges in designing and implementing programs.