1. The Effect of Performance-Based Financial Incentives on Improving Patient Care Experiences: A Statewide Evaluation
- Author
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Rodriguez, Hector P., Glahn, Ted, Elliott, Marc N., Rogers, William H., and Safran, Dana Gelb
- Subjects
Medicine & Public Health ,Internal Medicine ,financial incentives ,pay-for-performance ,public reporting ,patients’ experiences of care ,quality improvement - Abstract
Patient experience measures are central to many pay-for-performance (P4P) programs nationally, but the effect of performance-based financial incentives on improving patient care experiences has not been assessed.The study uses Clinician & Group CAHPS data from commercially insured adult patients (n = 124,021) who had visits with 1,444 primary care physicians from 25 California medical groups between 2003 and 2006. Medical directors were interviewed to assess the magnitude and nature of financial incentives directed at individual physicians and the patient experience improvement activities adopted by groups. Multilevel regression models were used to assess the relationship between performance change on patient care experience measures and medical group characteristics, financial incentives, and performance improvement activities.Over the course of the study period, physicians improved performance on the physician-patient communication (0.62 point annual increase, p
- Published
- 2009