KevinMD January 27, 2018
In a research article published in Annals of Internal Medicine, investigators studied performance in Medicare’s Value-Based Payment Modifier program (VM) — a prominent pay-for-performance (P4P) program that adjusts providers’ Part B payment rates on the basis of their performance on a set of quality and cost measures. The authors were interested in 2 questions: Is engagement in VM associated with changes in provider performance on quality or cost measures? Does the program potentially impact health disparities?
The concept of P4P is straightforward: financially reward providers for high-quality care and penalize them for low-quality care. However, those of us familiar with the payment approach know that implementation is far more complicated. The study’s headline demonstrated results that, like prior P4P efforts,...
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