Pay-for-performance and public reporting program participation and administrative challenges among small- and medium-sized physician practices

Larry R. Hearld, Jeffrey A. Alexander, Yunfeng Shi, Lawrence P. Casalino

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

A key component of efforts to improve the quality of care in the United States is the use of public reporting and pay-for-performance programs. Little is known, however, about the extent to which small- and medium-sized physician practices are participating in these programs. This study examined the participation of small- and medium-sized physician practices in pay-for-performance and public reporting programs and the characteristics of the participating practices. Using cross-sectional data from a national sample of 1,734 small- and medium-sized physician practices throughout the United States, we found that many practices (61.2%) were participating in at least one program, while far fewer (19.2%) were participating in multiple programs. Among practices participating in multiple programs, relatively few (21.9%) reported high levels of administrative problems due to a lack of standardization on performance measures. The study also suggests that some structural features are associated with participation and may provide leverage points for fostering participation.

Original languageEnglish (US)
Pages (from-to)299-312
Number of pages14
JournalMedical Care Research and Review
Volume71
Issue number3
DOIs
StatePublished - Jun 2014

All Science Journal Classification (ASJC) codes

  • Health Policy

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