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Can We Pay for Performance in Behavioral Health Care?
Rebecca E Stewart1, Ishara Lareef1, Trevor R Hadley1
1The authors are with the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (e-mail: restewar@upenn.edu ). Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
Abstract:
Pay for performance (P4P) has become a popular strategy to reward quality and cost-efficiency in behavioral health care and other health care disciplines. This column presents the results of a literature review of P4P in behavioral health care. Fifteen empirical studies evaluating the outcomes of behavioral health services provided in a P4P system were identified. The limited data suggest that P4P can achieve its desired effect. More research is needed on outcomes, performance, and unintended consequences.
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