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Med Care Res Rev. 2006 Feb;63(1 Suppl):14S-28S.

Impact of pay-for-performance contracts and network registry on diabetes and asthma HEDIS measures in an integrated delivery network.

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1
Partners Community HealthCare, Inc.

Abstract

This article reviews the experience of a large, heterogeneous integrated delivery network that incorporated physician quality metrics into pay-for-performance contracts. The authors present criteria for including measures in pay-for-performance contracts and offer a practical approach to determining withhold return or bonus distribution based on improvement and performance. They demonstrate interventions undertaken to improve performance, including the development of a claims-based registry. Empirical data show that the network performance improved more than the comparable state and national performance during the period of this observational study. The authors conclude that pay-for-performance contracts led to development of medical management programs including a claims-based registry and nonphysician interventions, which helped significantly improve selected HEDIS scores.

PMID:
16688922
DOI:
10.1177/1077558705284057
[Indexed for MEDLINE]

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