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Initial study of CMS P4P demonstration shows no significant improvement in outcomes

June 6, 2007

A study reviewing the CMS cardiac care P4P program published in today’s issue of JAMA shows no significant improvement in care associated with P4P "carrots."  See Washington Post story here, WSJ story here (subscription may be required) and Duke press release here.

Possible explanations: observed behavior improves regardless of incentive; cardiac care is improving generally; the carrot wasn’t big enough. (Tip of the hat carrot to Kevin MD.)

I don’t see this as the death knell for P4P, but rather as a call for further study and tweaking.  There are many possible paths to improved performance in health care.  (See earlier HealthBlawg posts on P4P, including this one.)

— David Harlow

Filed Under: CMS, Health care policy, Health Law, Hospitals, Medicare, Pay for performance, Physicians

you might also like:

  1. CMS forges ahead with pay-for-performance (P4P) initiatives

  2. CMS and P4P post by David Harlow picked up by Health Lawyers Weekly

  3. CMS announces home health pay for performance demonstration

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  1. Trusted.MD Network says:
    June 7, 2007 at 8:38 am

    Thanks for the link!

    I appreciate the recent links to Kevin, M.D.:

    QuestionsDr. Wes Examines the iVillage Symptom Solver

    Initial study of CMS P4P demonstration shows no significant improvement in outcomes

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