Considerable attention has been given to evidence-based process indicators associated with quality of care, while much less attention has been given to the structure and key parameters of the various pay-for-performance (P4P) bonus and penalty arrangements using such measures. In this article we develop a general model of quality payment arrangements and discuss the advantages and disadvantages...

This study exploits a natural experiment in the province of Ontario, Canada, to identify the impact of pay-for-performance (P4P) incentives on the provision of targeted primary care services and whether physicians' responses differ by age, size of patient population, and baseline compliance level. We use administrative data that cover the full population of Ontario and nearly all the services p...

Introduction Preliminary audit studies in HA (Hospital Authority) hospitals have shown that diagnosis and procedure data reported in the electronic records were very accurate. However, appropriateness is as important as accuracy in clinical documentation. With the introduction of internal resource allocation based on Casemix Pay for Performance (P4P), the relevance of clinical documentation bec...

BACKGROUND A total of 20.8 million people in the United States have diabetes, including 10.3 million adults over the age of 60 years, and more than 6 million people remain undiagnosed. Although diabetes is widely recognized as a prevalent and serious disease in managed care, current care is suboptimal, with less than 2% of American adults with diabetes receiving optimal quality of care. OBJEC...

This paper describes P4P(Proactive network Provider Participation for peer-to-peer) network server based on the Half-Sync/Half-Async and Pipe/Filter design patterns, which implements the requirements of the P4P system. The P4P network server applies the Half-Async layer to listen to the specified network port and establishes network connections asynchronously; makes use of message queue layer t...

Recent US legislation is attempting to transition inpatient Medicare payments to a value-based purchasing (VBP) program. The VBP program is a pay-for-performance (P4P) system that incentivizes hospitals to improve patient satisfaction, health outcomes, and adherence to clinical protocols while simultaneously holding down costs. Our study evaluates (1) the impact of financial performance on the ...

BACKGROUND Pay for performance (P4P) is a business model in which health plans pay provider organizations (medical groups) financial incentives based on attainment of clinical quality, patient experience, and use of information technology. The California P4P program is the largest P4P program in the united states and represents a potential revenue source for all participating medical groups. Th...

Many patients and expectant mothers in low-income countries bypass local health facilities search of better-quality services. This study examines the impact a payment-for-performance (P4P) scheme on bypassing practices among women Tanzania. We expect P4P intervention to reduce incidences by improving quality services facilities, thereby reducing incentive migrate. used difference-in-difference ...

In previous centuries, before the advent of indoor plumbing, families bathed in the same tub of water. The order of bathing was determined according to age and stature within the family. The heads of the household bathed first, followed by the next generation, and so on. By the time the babies were bathed, the water was less than clear. Thus arose the saying ‘‘Don’t throw the baby out with the ...

IMPORTANCE Most evaluations of pay-for-performance (P4P) incentives have focused on large-group practices. Thus, the effect of P4P in small practices, where many US residents receive care, is largely unknown. Furthermore, whether electronic health records (EHRs) with chronic disease management capabilities support small-practice response to P4P has not been studied. OBJECTIVE To assess the ef...