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Research Highlights
Special Supplement on Pay for Performance
February 7, 2006
A special supplement on pay for performance (P4P) appearing in the February issue of Medical Care Research and Review features several VA/HSR&D authors. More than 100 P4P programs have been instituted across the country, and are designed to offer financial incentives to health care providers in order to achieve predefined quality targets, thereby improve patient care and outcomes. However, these P4P programs are very different and there is little evidence about their effectiveness. This special supplement discusses several projects that were established to evaluate pay for performance programs. These include a P4P program for Medicare-participating hospitals and others linked to the Rewarding Results initiative that is supported by a consortium of public and private organizations, such as the Robert Wood Johnson Foundation and the Agency for Healthcare Research and Quality, who sponsored this supplement.
Articles in this supplement offer evidence related to the effectiveness of P4P programs from different settings, and present evidence related to the implementation of P4P programs, as well as the potential for chronic disease management programs as a feature of pay for performance programs. This supplement reports only on what might be defined as first-generation P4P programs - those that focus on hospitals and primary care physicians as target recipients for incentive money.
Medical Care Research and Review February 2006;63(1);suppl:145-285
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