Pay for performance (P4P) is defined as the transfer of money or material goods conditional on taking a measurable action or achieving a predetermined performance target (Eichler 2006). In recent years, P4P has received considerable attention as an innovative health system model to increase the use, quality and efficiency of health care services in lowand middle-income countries (LMIC). In addi...

Pay-for-performance (P4P) is the provision of financial incentives to healthcare providers based on pre-specified performance targets. P4P has been used as a policy tool to improve healthcare provision globally. However, researchers tend to cluster into those working on high or low- and middle-income countries (LMICs), with still limited knowledge exchange, potentially ...

Managers and policymakers are seeking practical guidelines for assessing the outcomes of emerging pay-for-performance (P4P) programs. Evaluations of P4P programs published to date are mixed-some are confusing-and methodological problems with them are common. This article first identifies and summarizes obstacles to implementing effective P4P programs. Second, it describes results from social sc...

While pay for performance (P4P) has created a nationwide buzz among health plans, physicians and hospitals, most P4P initiatives are still on the drawing board, according to findings from the Center for Studying Health System Change's (HSC) 2005 site visits to 12 nationally representative communities. HSC focused on performance-based payment for physicians, finding that only two HSC communities...

Payment for Performance (P4P) schemes by which physicians get a financial reward as long as they reach quality and efficiency targets provided by regulator have become increasingly popular in recent years in OECD countries (1) : in 2012, P4P program for primary care physicians were implemented in about 15 OECD countries. In the US, the number of P4P schemes has grown spectacularly, from 39 in 2...

Pay-for-performance (P4P) schemes have become increasingly common in primary care, and this article reviews their impact. It is based primarily on existing systematic reviews. The evidence suggests that P4P schemes can change health professionals' behavior and improve recorded disease management of those clinical processes that are incentivized. P4P may narrow inequalities in performance compar...

Pay-for-performance (P4P) is a popular means of incentivising behaviour change. As a result, P4P or contingent rewards are ubiquitously applied by people in a variety of settings, from parents rewarding their children for examination success, to employee remuneration packages in the workplace, to payments for healthcare or other organisations achieving quality targets. The issue of P4P in healt...

BACKGROUND Pay-for-performance (P4P) is increasingly implemented in the healthcare system to encourage improvements in healthcare quality. P4P is a payment model that rewards healthcare providers for meeting pre-established targets for delivery of healthcare services by financial incentives. Based on their performance, healthcare providers receive either additional or reduced payment. Currently...

Despite the popularity of pay-for-performance (P4P) among health policymakers and private insurers as a tool for improving quality of care, there is little empirical basis for its effectiveness. We use data from published performance reports of physician medical groups contracting with a large network HMO to compare clinical quality before and after the implementation of P4P, relative to a cont...

Pay for performance (or P4P) may seem like a distant phenomenon to many physicians – one they don’t want to concern themselves with just yet. However, in the past few years, P4P programs have proliferated. Virtually all major payers, including Medicare, are piloting P4P programs and will soon be measuring physician performance and offering financial incentives to those who meet quality target...