• Med Care Res Rev · Feb 2006

    What's the return? Assessing the effect of "pay-for-performance" initiatives on the quality of care delivery.

    • Stephen R Grossbart.
    • Quality Management, Catholic Healthcare Partners, 615 Elsinore Pl., Cincinnati, OH 45202, USA. srgrossbart@health-partners.org
    • Med Care Res Rev. 2006 Feb 1;63(1 Suppl):29S-48S.

    AbstractThis article evaluates the impact of the Centers for Medicare & Medicaid Services/Premier pay-for-performance demonstration project on performance improvement in three clinical areas in a multihospital health care system. The study compares a group of hospitals participating in this project against a control group of similar hospitals that did not participate. Although the incentives are extremely small, the findings show that participation in the pay-for-performance initiative had a significant impact on the rate and magnitude of performance improvement. The project led to marked improvement in the quality of clinical process delivery and accelerated the adoption of evidence-based practices.

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