If pay-for-performance (P4P) is to succeed, the industry needs an all-payer approach, where providers face the same metrics and incentives for all patients, regardless of their insurance coverage, says a recent report entitled "Keeping Score: A comparison of pay-for-performance programs among health plans," published by PriceWaterhouseCoopers (New York).
Key findings of the report include:
Â· P4P is viewed as a necessary component of a quality-driven healthcare system, but not the final solution.
Â· Health plans believe that they must tailor their P4P scorecards for specific needs, leading to a cornucopia of metrics in the market.
Â· In the commercial sector, physician P4P programs have evolved more fully than hospital programs.
Â· Transparency of physician performance is still in its infancy.
Â· Measurement is not enough; P4P payments are too low to significantly change provider behavior.
Â· Results from P4P are spotty and few plans have set up tracking methods.