SEARCH
Current Location:
>
> This Story

starstarstarstarstar (1)
Log in or Register to rate this News Story
Forward Printable StoryPrint Comment

Never Miss a Story

Sign up for email alerts

 

More Industry Headlines

A day at ECRI Institute's medical device testing laboratory Exploring three topics hospital execs need to know about

7 Tesla MR shows promise in first-of-its-kind cardiac study Yields value in diagnosing hypertrophic cardiomyopathy

Jury rules Philip Morris won’t have to cover chest CT scans for smokers Would have cost tobacco giant about $5 million annually

Britain's junior doctors striking in contract dispute Doctors say government rejected 'fair' offer

Hospitals are participating in fewer health insurance networks in 2016 New research suggests it may be part of normal market evolution

Against the odds, Princeton Baptist cardiologist saves patient's life First-of-its-kind 20 hour procedure conducted on massive aneurysm

Philips and Validic aim to combine fitness data with the EHR Adding medical value to consumer wearables

Optical Coherence Tomography scanner a boon to basal-cell diagnosis VivoSight OCT may lead to a future with fewer biopsies

With Avicenna, IBM Watson Health interprets radiology images Commercialization preparations are just beginning

Are low dose radiation concerns based on bad science? Loyola research team thinks so Examining the harmful side of dose preoccupation

Researchers question pay-for-performance schemes

by Brendon Nafziger , DOTmed News Associate Editor
Rewarding doctors for doing good things and cutting out bad ones seems like a no-brainer, but researchers writing in the current issue of the British Medical Journal say pay-for-performance schemes might undermine physician motivation and are often based on flimsy evidence.

Pay-for-performance schemes, which tie financial incentives to meeting certain quality objectives, are becoming more popular, according to the authors. At least 170 initiatives have been started in the United States. Similar programs exist in the United Kingdom and Australia.

Story Continues Below Advertisement

Zetta Offers Used CT & MRI, Multislice PET/CT Systems, Service & Parts

Zetta is a high performance independent service organization offering preowned / used medical equipment, dedicated CT & MRI service and quality replacement parts to the medical imaging industry. Phone: 847-550-9990 Email: Sales@zettamed.com



But in their paper, the researchers say that there's often little reliable evidence that most programs work over the long-term, save health systems money, or actually better patient outcomes.

"The evidence on whether financial incentives are more effective than other interventions is often weak and poorly reported," wrote the researchers, led by Paul P. Glasziou, a professor with the Center for Research in Evidence-Based Practice at Bond University in Queensland, Australia.

Gaming the system

A big worry is that instead of resulting in better patient outcomes, such programs merely encourage doctors to game the system. For instance, in programs that reward doctors for risk-adjusted mortality and morbidity results, doctors could engage in "upcoding," massaging the reimbursement codes to make patients seem sicker than they are to qualify for higher payments.

Outright data manipulation is another concern. A 2005 study cited by the researchers found that 16 percent of English emergency rooms studied directly tweaked their ER data to make it seem like they met a four-hour discharge target.

In an accompanying editorial, a trio of U.S. economists and public health experts warn that possibly the bigger problem with pay-for-performance schemes is that they rest on "flawed assumptions" of human motivation.

"Performance based pay may increase output for straightforward manual tasks," wrote Steffie Woolhandler, a professor at City University of New York, Dan Ariely a professor of psychology and behavioral economics at Duke University, and David U. Himmelstein, also a professor at City University. "However, a growing body of evidence from behavioral economics and social psychology indicates that rewards can undermine motivation and worsen performance on complex cognitive tasks, especially when motivation is high to begin with."

The checklist

Still, if policymakers are going to go ahead with pay-for-performance schemes, the Australian economists developed a nine-point checklist to help them avoid some of the pitfalls inherent in these programs.

Continue reading Researchers question pay-for-performance schemes...
  Pages: 1 - 2 >>

Related:


Interested in Medical Industry News? Subscribe to DOTmed's weekly news email and always be informed. Click here, it takes just 30 seconds.

You Must Be Logged In To Post A Comment

Advertise
Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Directory
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Requests
Gold Service Dealer Program
Receive RFP/PS
Requests
Healthcare Providers
See all
HCP Tools
Jobs/Training
Find/Fill
A Job
Parts Hunter +EasyPay
Get Parts
Quotes
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Quotes
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2016 DOTmed.com, Inc.
ALL RIGHTS RESERVED