An Environmental Scan of Pay for Performance in the Hospital Setting: Final Report. III. Summary of Discussions with Pay-for-Performance Program Sponsors

11/01/2007

Given the scarcity of empirical data showing the effects of P4R and P4P programs on improving quality, safety, or efficiency and showing the effects of design elements that may influence provider behavior, RAND held discussions with a broad cross-section of P4P programs to gather information on the current state-of-the-art of P4P program design and operation. In this chapter, we describe key design features of hospital P4P programs that were being operated by both private- and public-sector sponsors across the United States as of October 2006. In addition to this cataloging of the designs, we asked about issues confronted in implementing and operating a hospital P4P program. The insights and perspectives gathered through these discussions reflect more than half of all hospital P4P programs in operation at the time the environmental scan was conducted.

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