Do Penalty-Based Pay-for-Performance Programs Improve Surgical Care More Effectively than Other Payment Strategies? A Systematic Review

Date: 12/01/2020
Source: Do Penalty-Based Pay-for-Performance Programs Improve Surgical Care More Effectively than Other Payment Strategies? A Systematic Review
Author(s): Kyung Kim, Wendy Max, Justin White, Susan Chapman, and Ulrike Muench

 

The aim of this systematic review is to assess if penalty-based pay-for-performance (P4P) programs are more effective in improving quality and cost outcomes compared to two other payment strategies (i.e., rewards and a combination of rewards and penalties) for surgical care in the United States. A systematic literature review was conducted according to the PRISMA guideline to identify studies that evaluated the effects of P4P programs on quality and cost outcomes for surgical care. This review highlights that P4P programs with a penalty design could be more effective than programs using rewards or a combination of rewards and penalties to improve quality of surgical care.