Paying For Performance In Primary Care: Potential Impact On Practices And Disparities

Authors, Primary Friedberg,Mark W.;Safran,Dana Gelb;Coltin,Kathryn;Dresser,Marguerite;Schneider,Eric C.
Title Primary Paying For Performance In Primary Care: Potential Impact On Practices And Disparities
Periodical Full Health Affairs
Pub Year 2010
Volume 29
issue 5
Start Page 926-932
Abstract Performance-based payments are increasingly common in primary care. With persistent disparities in the quality of care that different populations receive, however, such payments may steer new resources away from the care of racial and ethnic minorities and people of low socioeconomic status. We simulated performance-based payments to Massachusetts practices serving higher and lower shares of patients from these vulnerable communities in Massachusetts. Typical practices serving higher shares of vulnerable populations would receive less per practice compared to others, by estimated amounts of more than $7,000. These findings suggest that pay-for-performance programs should monitor and address the potential impact of performance-based payments on health care disparities.
Publisher Project Hope
Place of Publication Millwood, Va.
Author/Address Not Available
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Cost and Reimbursement;Disparities
Special Population(s) Not Available
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No