AHRQ’s Health Care Innovations Exchange Focuses on Physician Performance–Based Incentive Programs

The latest issue of AHRQ’s Health Care Innovations Exchangefeatures three programs that offered financial incentives to physicians based on their performance in meeting clinical care improvement goals and on various metrics of efficiency and quality. One of the featured profiles describes a Partnership for Quality program at HealthSpring, a Medicare managed care organization in Nashville, Tennessee, that awards bonuses equal to as much as 20 percent of health plan payments if physicians meet clinical care improvement goals. At nine participating practices, the program led to significant improvements in a broad range of clinical quality indicators, along with decreases in members’ emergency department visits, hospitalizations and total medical expenses. Featured quality tools include an interactive tool that helps practitioners determine their payment adjustments and reimbursements for Medicare incentive programs. The Innovations Exchange includes a variety of innovation profiles related to physician performance and financial incentives.

Health Plan's Multifaceted Strategy Involving Care Coordination, Disease Management and Physician Incentives Leads to Better Outcomes and Reduced Costs for Medicare Advantage Enrollees | AHRQ Innovations Exchange

Innovations

Policy Hospital Gain-Sharing Program Offers Incentives to Physicians Based on Their Efficiency, Producing Significant Cost Savings Without Decline in Quality 7/16/2014

A group of 12 New Jersey hospitals offered upside incentives to individual physicians based on their performance on various efficiency metrics, leading to significant cost savings without negatively affecting quality of care.

Policy Hospital-Affiliated Physician Group Offers Modest Performance-Based Incentives to Salaried Physicians, Leading to Sustained Improvement on Quality-Related Metrics 7/16/2014

A hospital-affiliated physician group offers modest performance-based incentives to salaried physicians, leading to sustained improvements in performance on a broad array of quality-related metrics.

Policy Health Plan's Multifaceted Strategy Involving Care Coordination, Disease Management and Physician Incentives Leads to Better Outcomes and Reduced Costs for Medicare Advantage Enrollees 7/8/2014

HealthSpring's Partnership for Quality program offers bonuses to physician practices and onsite care coordination and disease management support, leading to significantly better outcomes and reduced costs for Medicare Advantage enrollees.

Financial Incentives for Physicians Lead to Increased Adoption of Health Information Technologies and Other Quality/Safety Improvements7/2/2014

A physician group offers financial incentives to its physicians to encourage use of various health information technologies, including a new electronic medical record system and electronic radiology ordering system.

Concurrent and Retrospective Chart Review, Performance Reporting, and Other Support Significantly Improve Adherence to Core Measures in Four Clinical Areas 5/21/2014

Concurrent and postdischarge nurse chart review, performance feedback, and other support lead to near-perfect adherence to recommended care processes for heart attack, heart failure, pneumonia, and surgery.

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QualityTools

Private Performance Feedback Reporting for Physicians: Guidance for Community Quality Collaboratives 5/22/2013

This resource document is intended to provide practical information and guidance primarily to Chartered Value Exchanges and other community quality collaboratives interested in the design, dissemination, and use of private feedback reports on physician performance.