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Medical Care Research and Review
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Impact of Pay-for-Performance Contracts and Network Registry on Diabetes and Asthma HEDIS®Measures in an Integrated Delivery Network

Jeffrey Levin-Scherz, MD, MBA

Nicole DeVita, RPh, MHP

Partners Community Health Care, Inc

Justin Timbie

Harvard University

This article reviews the experience of a large, heterogeneous integrated delivery network that incorporated physician quality metrics into pay-for-performance contracts. The authors present criteria for including measures in pay-for-performance contracts and offer a practical approach to determining withhold return or bonus distribution based on improvement and performance. They demonstrate interventions undertaken to improve performance, including the development of a claims-based registry. Empirical data show that the network performance improved more than the comparable state and national performance during the period of this observational study. The authors conclude that payfor-performance contracts led to development of medical management programs including a claims-based registry and nonphysician interventions, which helped significantly improve selected HEDIS scores.

Key Words: quality • pay for performance • incentives • registry • asthma • diabetes

Medical Care Research and Review, Vol. 63, No. 1 suppl, 14S-28S (2006)
DOI: 10.1177/1077558705284057


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