title: A quality-driven physician compensation model: four-year follow-up study.
abstract: This case report describes a qualitative and preliminary quantitative assessment of a quality-based physician compensation program. The Hawaii Medical Service Association's Physician Quality and Service Recognition program offers an innovative and effective approach for improving delivery of high-quality and cost-effective care to patients enrolled in preferred provider organizations. Support for the program is demonstrated through increasing numbers of voluntarily participating physicians. Preliminary assessment of population outcomes reveals sustained improvements in many clinical areas and mixed findings in others. This study contributes to the body of knowledge available to payers and policy makers considering alternative payment methods to reward improved performance.
authors.affiliation: Care Management Department, Hawaii Medical Service Association, Honolulu.
authors.forename: Richard S
authors.initials: RS
authors.lastname: Chung
authors.forename: Helen O
authors.initials: HO
authors.lastname: Chernicoff
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Nakao
authors.forename: Robert C
authors.initials: RC
authors.lastname: Nickel
authors.forename: Antonio P
authors.initials: AP
authors.lastname: Legorreta
mesh_terms: D003953:Diagnosis-Related Groups; D005500:Follow-Up Studies; D006254:Hawaii; D006801:Humans; D007388:Internal Medicine / Q000191:economics / Q000592:standards; D017146:Models, Organizational; D019982:Organizational Case Studies; D017063:Outcome Assessment, Health Care; D010816:Physician Incentive Plans; D011243:Preferred Provider Organizations / Q000191:economics / Q000592:standards* / Q000706:statistics & numerical data; D011314:Preventive Health Services / Q000592:standards / Q000600:supply & distribution*; D015397:Program Evaluation; D019984:Quality Indicators, Health Care; D017749:Total Quality Management / Q000458:organization & administration* / Q000592:standards