|Research Show That Physician P4P Programs Work With Appropriate Incentives: BTE
Bridges to Excellence (BTE), released the findings of a
study to determine the extent to which the size of rewards impact
physician participation rates for pay-for-performance (P4P) programs.
The study included a statistical analysis of historical
BTE data and found that P4P works if the incentives are appropriately
set based on the intensity of effort.
"The bottom line is simple: P4P works. However, to work
the incentives have to be meaningful and relevant to the physicians,"
said François de Brantes, BTE CEO. "As Congress readies to work
on payment reform, this is an important lesson. If they want the
Medicare incentives to work, they have to significantly increase the
percentage of dollars at stake. If they do, the positive effects of
better quality will occur, otherwise they won’t."
The paper, "Physicians Respond to Pay-for-Performance
Incentives: Larger Incentives Yield Greater Participation," was led by
François de Brantes and Guy D’Andrea, president of Discern
Consulting, a healthcare policy consulting firm.
This P4P model also suggests that the current incentives
being offered for the Health Information Technology for Economic and
Clinical Health Act (HITECH) provision included in the recently passed
American Recovery and Reinvestment Act are significant enough to work.
The adoption of electronic medical records is anticipated to skyrocket
as a result of this legislation.
However, while BTE’s research suggests that over
two-thirds of all physicians will participate in the HITECH incentives,
the participation is likely to be skewed towards practices with more
than three physicians. As a result, the Department of Health and Human
Services should look to support smaller practices with technical
assistance in addition to the financial incentives to ensure the
broadest possible participation.
The research was published in The American Journal of Managed Care.
Addresses: Bridges to Excellence, 13 Sugar St., Newtown, CT 06470; (302) 270-2906, www.bridgestoexcellence.org.