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Related Experiment Videos

Quality incentive payment systems: promise and problems.

Peter A L Bonis1

  • 1Division of Gastroenterology, Tufts, University School of Medicine, Boston, MA 02481, USA. pbonis@uptodate.com

Journal of Clinical Gastroenterology
|March 11, 2005
PubMed
Summary

Financial incentives from payers aim to improve US healthcare quality by reducing variability. However, the effectiveness of these quality incentive payment systems remains uncertain, with many questions unanswered.

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Area of Science:

  • Health Policy
  • Healthcare Economics
  • Quality Improvement

Background:

  • Increasing public and corporate pressure to enhance US healthcare quality.
  • Drivers include rising costs, patient safety concerns, malpractice litigation, and chronic disease burden.
  • Payers are central, introducing financial incentives for providers to deliver high-quality care.

Purpose of the Study:

  • To examine the role of financial incentives in improving healthcare quality.
  • To assess the potential of quality incentive payment systems.
  • To address the uncertainty surrounding the effectiveness of these programs.

Main Methods:

  • Analysis of current healthcare policy trends.
  • Review of payer strategies for incentivizing quality.

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  • Identification of key questions regarding program effectiveness.

    • Main Results:

    • Payers are actively implementing financial incentives for providers.
    • Quality incentive payment systems are designed to reduce care variability.
    • The ultimate success and effectiveness of these systems are yet to be determined.

    Conclusions:

    • Financial incentives are a key strategy in current healthcare reform efforts.
    • The adoption of systems to assure high-quality care is being stimulated.
    • Further evaluation is needed to determine the true impact of these quality improvement initiatives.