Pay-for-performance is being applied at the
physician level to stimulate improvements in qual-
ity of care and cost efficiency; however, little is
known about how physicians will respond. We
interviewed physicians exposed to a financial
incentive program in California to identify possible
barriers to the successful application of financial
incentives by exploring physicians’ opinions of and
experiences with pay-for-performance programs.
Reasons physicians cited for quality deficiencies
included insurance coverage limitations and lack
of patient compliance, time, and proper physician
oversight. Physicians believe that they play a sig-
nificant role and have a moderate to high degree of
control over quality of care and that it is important
to self-monitor. Physicians expressed the need for
accurate and timely data, peer comparisons, and
more patient time, staff support, and consultations
with colleagues to successfully monitor and deliver
quality care. Many support increased pay for deliv-
ering high-quality care but question measurement
accuracy, bonus payment financing, and health
plan involvement. (Am J Med Qual 2006;21:367-374)
Keywords: pay for performance; P4P; financial incen-
tives for physicians
Over the last decade, many studies have docu-
mented substantial deficiencies in the quality of care
delivered in the United States.
1-4
In a national exam-
ination of the quality of care delivered to adults,
McGlynn and colleagues
5
found that, on average,
patients received recommended care only 55% of the
time, and there was wide variation in adherence to
clinically recommended care across medical condi-
tions.
5
To close the quality gap, the Institute of
Medicine (IOM) recommended the creation and align-
ment of payment policies to support the delivery of
quality care.
6
In the United States, a number of pay-
ment reform experiments are under way in the public
and private sectors that offer a variety of incentives
to providers with the explicit goal of stimulating qual-
ity improvements and reducing costs. For example,
the Rewarding Results program, cosponsored by
the Robert Wood Johnson Foundation and the
California HealthCare Foundation, provided funding
to 7 demonstration projects to design, implement, and
evaluate incentive programs to reward physicians,
medical groups, and hospitals for higher quality care.
7
Changing physician behavior is a key compo-
nent to achieving improvements in quality of care.
Although financial incentives are hypothesized to
affect clinician behavior to deliver higher quality
care, there is limited information about how best to
design such programs or about their impact.
8
Much
367
AUTHORS’ NOTE: Dr Teleki is an associate policy researcher,
Dr Damberg is a senior policy researcher, Ms Pham is a survey
coordinator, and Ms Berry is a senior behavioral scientist, RAND
Health. The authors have no affiliation with or financial interest
in any product mentioned in this article. Financial support for this
research came from the Robert Wood Johnson Foundation
(RWJF) as part of the Rewarding Results initiative. The health
plan and RWJF played no role in the design and conduct of the
study or in the analysis of the data. Drs Damberg and Teleki
designed the survey protocol, conducted the interviews, and ana-
lyzed the data. Ms Berry conducted the focus groups and assisted
with protocol design. Ms. Pham recruited physicians and coded
data for analysis. Drs Damberg and Teleki wrote the manuscript
and are the guarantors. Drs Damberg and Teleki had full access
to the data in the study and take responsibility for the integrity
of the data and the accuracy of the data analysis. No competing
interests are declared. Ethical approval was granted from the
Institutional Review Board of RAND. Corresponding author:
Stephanie Teleki, RAND Corporation, 1776 Main Street, P.O. Box
2138, Santa Monica, CA 90407-2138 (e-mail: teleki@rand.org).
American Journal of Medical Quality, Vol. 21, No. 6, Nov/Dec 2006
DOI:10.1177/1062860606293602
Copyright © 2006 by the American College of Medical Quality
Will Financial Incentives Stimulate
Quality Improvement? Reactions
From Frontline Physicians
Stephanie S. Teleki, PhD
Cheryl L. Damberg, PhD
Chau Pham, MS
Sandra H. Berry, MA