Impact of pay-for-performance contracts and network registry on diabetes and asthma HEDIS measures in an integrated delivery network.
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.
Levin-Scherz
Jeffrey
J
Partners Community HealthCare, Inc.
DeVita
Nicole
N
Timbie
Justin
J