Impact of a Clinician Incentive Program on Quality Measures Performance in a Medicare Shared Savings Accountable Care Organization

• Published in: American journal of medical quality Vol. 38; no. 1; p. 29
• Main Authors: Han, Jessica, Jathavedam, Anita, Perepelyuk, Mike, Casale, Paul N
• Format: Journal Article
• Language: English
• Published: Netherlands 01.01.2023
• Subjects: Accountable Care Organizations; Aged; Cost Savings; Humans; Medicare; Motivation; Quality Indicators, Health Care; Reimbursement, Incentive; United States; United States
• ISSN: 1555-824X
• DOI: 10.1097/JMQ.0000000000000098

Financial incentives are often used to encourage and reward clinicians for achieving specific outcomes; however, there is limited data on their effectiveness. This study evaluates the impact of NewYork Quality Care's Clinician Incentive Program on improving quality measure performance over 4 years. Clinicians including primary care physicians and specialists actively opted-in to an incentive program where their quality performance was evaluated and rewarded biannually. Using Medicare Shared Savings Program data extracted for quality measures (2016-2019), this study analyzes quality measure performance between clinicians who opted-in to the program compared to those who did not. Additional analysis was performed comparing primary care clinician and specialist performance. The analysis revealed that clinicians in the incentive program significantly outperform (P < 0.05) clinicians who chose not to join the program in 6 of the 7 quality measures. In addition, the program helped facilitate discussions with clinicians more broadly in population health efforts.