By Jessica Greene Ph.D.
Health Services Research (HSR), August 2013
This study examines the impact of Australia’s pay-for-performance (P4P) program for general practitioners (GPs).
There was a short-term increase in diabetes testing and cervical cancer screens after program implementation. The increase, however, was for all GPs. Neither signing onto the program nor claiming incentive payments was associated with increased diabetes testing or cervical cancer screening.
http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12033/abstract
And…
The Effect of Pay-for-Performance in Nursing Homes: Evidence from State Medicaid Programs
By Rachel M. Werner M.D., Ph.D., R. Tamara Konetzka Ph.D., Daniel Polsky Ph.D.
Medicaid-based P4P in nursing homes did not result in consistent improvements in nursing home quality. Expectations for improvement in nursing home care under P4P should be tempered.
http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12035/abstract
Comment:
By Don McCanne, M.D.
More evidence that pay-for-performance (P4P) does not improve quality nor reduce costs.
Single payer does.