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Quality-Based Payment for Medical Groups and Individual Physicians

Datos Bibliográficos

ID13775893
AutoresJames C Robinson (0000-0003-4129-4458, University of California, Berkeley, autor de correspondencia), Stephen M Shortell (0000-0002-7392-9801), Diane R Rittenhouse, Sara Fernandes-Taylor, Sara Fernandes‐Taylor (0000-0003-0007-0677), Robin R Gillies, Lawrence P Casalino (0000-0002-7927-7859)
Año2009
Volumen46
Número2
Páginas172-181
Fecha de publicación2009-05-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Identificadores de la revistaISSN: 0046-9580 • E-ISSN: 1945-7243
EditorialSAGE Publishing (PUBLISHER • US)
DOI10.5034/inquiryjrnl_46.02.172
PMID19694390
OpenAlexW2110267237
IdiomaEN
Citas recibidas4
Referencias citadas17

This paper measures the extent to which medical groups experience external pay-for-performance incentives based on quality and patient satisfaction and the extent to which these groups pay their primary care and specialist physicians using similar criteria. Over half (52%) of large medical groups received bonus payments from health insurance plans in the period 2006-2007 based on measures of quality and patient satisfaction. Medical groups facing external pay-for-performance incentives are more likely to pay their primary care physicians (odds ratio [OR] 4.5; p<.001) and specialists (OR 2.5; p=.07) based on quality and satisfaction. Groups facing capitation payment incentives to control costs are more likely to pay member physicians on salary and less likely to pay based on productivity (p<.001 for primary care; p<.05 for specialists) than groups paid by insurers on a fee-for-service basis

Actuarial science · Business · Capitation · Economics · Family medicine · Incentive · Patient satisfaction · Pay for performance · Payment · Productivity · Quality (philosophy · Salary · Finance · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine · Nursing · Primary Care and Health Outcomes

  • Physician Compensation Arrangements and Financial Performance Incentives in US Health Systems

    Open Access•Rachel O Reid, Ashlyn Tom et al.•JAMA Health Forum•2022

  • How can Health Care Organizations be Reliably Compared

    Georgios Lyratzopoulos, Marc N Elliott et al.•Medical Care•2011

  • The Intended and Unintended Consequences of Quality Improvement Interventions for Small Practices in a Community-based Electronic Health Record Implementation Project

    Andrew M Ryan, Colleen M McCullough et al.•Medical Care•2014

  • Le regroupement des professionnels de santé de premiers recours

    Julien Mousquès•Revue française des affaires…•2011

  • Improving Chronic Illness Care

    Edward H Wagner, Brian T Austin et al.•Health Affairs•2001

  • The Provision of Incentives in Firms

    Canice Prendergast•Journal of Economic Literature•1999

  • The Corporate Practice of Medicine

    Linda A Treiber, James C Robinson•Contemporary Sociology A Journal…•2001

  • Compensation and Productive Efficiency in Partnerships

    Martin Gaynor, Mark V Pauly•Journal of Political Economy•1990

  • Contractual Arrangements Between HMOs and Primary Care Physicians

    Alan L Hillman, W Pete Welch et al.•Medical Care•1992

Obras citantes distintas4
Citas por año0,27
Intervalo de citas2011 - 2022 (12)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 4
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