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Paying For Performance In Primary Care: Potential Impact On Practices And Disparities
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 simu...
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| Published in: | Health Affairs 2010-05, Vol.29 (5), p.926-932 |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c370t-904af70427c4a8a965eee4ce98421d0b2c9a3b8c3fed29188ec00d41b4ba91533 |
| container_end_page | 932 |
| container_issue | 5 |
| container_start_page | 926 |
| container_title | Health Affairs |
| container_volume | 29 |
| creator | Friedberg, Mark W. Safran, Dana Gelb Coltin, Kathryn Dresser, Marguerite Schneider, Eric C. |
| description | 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. [PUBLICATION ABSTRACT] |
| doi_str_mv | 10.1377/hlthaff.2009.0985 |
| format | article |
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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. 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| fulltext | fulltext |
| identifier | ISSN: 0278-2715 |
| ispartof | Health Affairs, 2010-05, Vol.29 (5), p.926-932 |
| issn | 0278-2715 1544-5208 |
| language | eng |
| recordid | cdi_proquest_journals_304621055 |
| source | International Bibliography of the Social Sciences (IBSS); Social Science Premium Collection; ABI/INFORM Global; Politics Collection; PAIS Index |
| subjects | At risk populations Censuses Citizenship Demographics Design specifications Ethnicity Health care policy Health facilities Medical practices Medicare Minority & ethnic groups Patients Pay for performance Payments Physicians Primary care Quality of care Race Simulation Sociodemographics Socioeconomic factors Socioeconomic status Socioeconomics Studies Variables |
| title | Paying For Performance In Primary Care: Potential Impact On Practices And Disparities |
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