HC 02/12

Order Description

Using a “pay-for-performance” (P4P) approach when compensating physicians has enjoyed considerable

popularity among employers as a complement to their “managed consumerism” health benefits strategy.

Health plans are responding by implementing a variety of different P4P programs. The early

experience with these programs suggests that, while attractive in the abstract, they can be very

difficult for individual health plans to implement effectively.

Identify and discuss three significant implementation issues that have emerged as health plans have

tried to put physician P4P programs in place. Describe the nature of each issue and why it has

proven to be a problem.

Issue 1:
Issue 2:
Issue 3:

Your assignment should be no longer than four pages (double-spaced, 10 point font or larger).

Please include references and citations and put quotes in quotation marks where appropriate.

Note to the writer:

I’ll attach the lecture handout also i add some references link below

1- Delbanco, S. The payment reform landscape: Pay-for-performance. Health Affairs Blog, March 4,


2- Goitein, L. The argument against reimbursing physicians for value. JAMA Internal Medicine


3- McKethan, A., Jha, A.K. Designing smarter pay-for-performance programs. Journal of the American

Medical Association. 2014;312(24):2617-2618.

4- McClellan M, Patel K, Latts L, Dang-Vu C. Implementing value-based insurance products: a

collaborative approach to health care transformation. Health Policy Issue Brief. The Brookings

Institute, June 2015.