Performance Incentives in Provider Purchasing and Contracting Arrangements: Rationale and Experiences

The paper describes performance-based incentive contracting schemes that have been implemented to improve results for a range of interventions from time-limited immunizations to chronic conditions that require significant lifestyle changes, such as diabetes. It finds that limited interventions with results or actions that can be measured and that require minimal changes in lifestyle seem to be well suited for performance-based incentives. It argues that performance incentives are a viable and potentially more powerful solution than typical inputoriented approaches to dealing with underutilization, poor quality, and low efficiency.

Publication & Resource Type: 
Working Papers
Year Published: 
2009
Main Contact: 
Donika Dimovska
Author(s): 
Rena Eichler, Ruth Levine with contributions from Paul Gertler and Kristiana Raube

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