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

TitlePay-for-performance and public reporting program participation and administrative challenges among small- and medium-sized physician practices.
Publication TypeJournal Article
Year of Publication2014
AuthorsHearld LR, Alexander JA, Shi Y, Casalino LP
JournalMed Care Res Rev
Volume71
Issue3
Pagination299-312
Date Published2014 Jun
ISSN1552-6801
KeywordsHealth Care Surveys, Humans, Mandatory Reporting, Practice Management, Private Practice, Reimbursement, Incentive, United States
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.

DOI10.1177/1077558713509018
Alternate JournalMed Care Res Rev
PubMed ID24263052
Category: 
Faculty Publication