Source: Robert Wood Johnson Foundation (RWJF), Press Release, September 19, 2013
One of the many approaches the Affordable Care Act takes to making health care more efficient is pay-for-performance incentives for clinicians. The underlying idea is that if doctors, nurses, physician assistants, and others are judged and rewarded based on the quality of the care they provide and actual patient outcomes, more of the necessary interventions will occur while fewer unnecessary tests and procedures will be performed, saving money and improving the quality of care.
Various studies have tested the concept, reaching mixed results. But two new studies by Robert Wood Johnson Foundation (RWJF) Investigator Award in Health Policy Research recipient R. Adams Dudley, MD, MBA, and colleagues suggest that for incentives to be effective, they must be carefully targeted and designed.
Dudley’s two studies were published this month in the Journal of the American Medical Association. The first tests the effectiveness of incentives for small medical practices that have implemented electronic health records (EHRs). The second focuses on how incentives should be distributed to achieve maximum effect—to individual clinicians, to their practices, or to both….
Effect of Pay-for-Performance Incentives on Quality of Care in Small Practices with Electronic Health Records – A Randomized Trial
Source: Naomi S. Bardach, Jason J. Wang, Samantha F. De Leon, Sarah C. Shih, W. John Boscardin, L. Elizabeth Goldman, R. Adams Dudley, Journal of the American Medical Association, Vol. 310 No. 10, September 11, 2013
Effects of Individual Physician-Level and Practice-Level Financial Incentives on Hypertension Care – A Randomized Trial
Source: Laura A. Petersen, Kate Simpson, Kenneth Pietz, Tracy H. Urech, Sylvia J. Hysong, Jochen Profit, Douglas A. Conrad, R. Adams Dudley, LeChauncy D. Woodard, Journal of the American Medical Association, Vol. 310 No. 10, September 11, 2013