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Health Serv Res. 2010 Apr;45(2):553-64. doi: 10.1111/j.1475-6773.2009.01072.x. Epub 2009 Dec 31.

Does the frequency of pay-for-performance payment matter?--Experience from a randomized trial.

Author information

  • 1Palo Alto Medical Foundation Research Institute, 795 El Camino Real, Palo Alto, CA 94301, USA. chungs@pamfri.org

Abstract

OBJECTIVE:

To examine the effects of incentive payment frequency on quality measures in a physician-specific pay-for-performance (P4P) experiment.

STUDY SETTING:

A multispecialty physician group practice.

STUDY DESIGN:

In 2007, all primary care physicians (n=179) were randomized into two study arms differing by the frequency of incentive payment, either four quarterly bonus checks or a single year-end bonus (maximum of U.S.$5,000/year for both arms).

DATA COLLECTION/EXTRACTION METHODS:

Data were extracted from electronic health records. Quality measure scores between the two arms over four quarters were compared.

PRINCIPAL FINDINGS:

There was no difference between the two arms in average quality measure score or in total bonus amount earned.

CONCLUSIONS:

Physicians' responses to a P4P program with a small maximum bonus do not differ by frequency of bonus payment.

PMID:
20059568
[PubMed - indexed for MEDLINE]
PMCID:
PMC2838160
Free PMC Article

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