Open AccessPhysician Pay‐For‐Performance
Author(s) -
Christianson Jon B.,
Knutson David J.,
Mazze Roger S.
Publication year - 2006
Publication title -
journal of general internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.746
H-Index - 180
eISSN - 1525-1497
pISSN - 0884-8734
DOI - 10.1111/j.1525-1497.2006.00356.x
Subject(s) - pay for performance , reimbursement , medicine , agency (philosophy) , payment , perspective (graphical) , quality (philosophy) , nursing , family medicine , health care , actuarial science , finance , philosophy , epistemology , artificial intelligence , computer science , economics , economic growth , business
Recent research underscores the gaps that exist between evidence‐based medical practices and the care that many patients actually receive. Recognizing this, large purchasers are experimenting with new reimbursement arrangements called pay‐for‐performance (P4P) that tie a portion of payments for physician services to measures of quality. Agency theory, from the discipline of economics, provides a perspective on the challenges P4P is likely to encounter. The focus of most P4P initiatives on medical group performance raises additional questions about its potential effectiveness as a catalyst for change.