ArticleJournal of general internal medicine2012
Do physician organizations located in lower socioeconomic status areas score lower on pay-for-performance measures?
Article in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Dynamic Updating Strategies to Assess Hospital Performance of Surgical Aortic Valve Replacement.Circulation. Cardiovascular quality and outcomes · 2025Article
- Launching Financial Incentives for Physician Groups to Improve Equity of Care by Patient Race and Ethnicity.The Milbank quarterly · 2024Article
- Disparities in relapsed or refractory multiple myeloma: recommendations from an interprofessional consensus panel.Blood cancer journal · 2024Review
- Assessing socioeconomic bias in machine learning algorithms in health care: a case study of the HOUSES index.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Article
- Does payment for performance increase performance inequalities across health providers? A case study of Tanzania.Health policy and planning · 2018Article
- Socioeconomic Background and Commercial Health Plan Spending.Pediatrics · 2017Article
- Pay-for-Performance: Disappointing Results or Masked Heterogeneity?Medical care research and review : MCRR · 2017Review
- Racial/Ethnic and Socioeconomic Differences in Colorectal and Breast Cancer Treatment Quality: The Role of Physician-level Variations in Care.Medical care · 2016Article
- A Cross-Sectional Assessment of the Quality of Physician Quality Reporting System Measures.Journal of general internal medicine · 2016Article
- Current State of Value-Based Purchasing Programs.Circulation · 2016Review
- No hospital left behind? Education policy lessons for value-based payment in healthcare.Journal of hospital medicine · 2016Article
- Partnering health disparities research with quality improvement science in pediatrics.Pediatrics · 2015Article
- Measuring Success in Health Care Value-Based Purchasing Programs: Findings from an Environmental Scan, Literature Review, and Expert Panel Discussions.Rand health quarterly · 2014Article
- Physician financial incentives and care for the underserved in the United States.The American journal of managed care · 2014Article
- Black patients more likely than whites to undergo surgery at low-quality hospitals in segregated regions.Health affairs (Project Hope) · 2013Article
- Methodological challenges of measuring primary care delivery to pediatric medicaid beneficiaries who use community health centers.American journal of public health · 2013Article
- Health disparities in endocrine disorders: biological, clinical, and nonclinical factors--an Endocrine Society scientific statement.The Journal of clinical endocrinology and metabolism · 2012Article
- It's NOT FAIR! Or is it? The promise and the tyranny of evidence-based performance assessment.Theoretical medicine and bioethics · 2012Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysician organizations (POs)--independent practice associations and medical groups--located in lower socioeconomic status (SES) areas may score poorly in pay-for-performance (P4P) programs.
objectiveTo examine the association between PO location and P4P performance.
designCross-sectional study; Integrated Healthcare Association's (IHA's) P4P Program, the largest non-governmental, multi-payer program for POs in the U.S.
participants160 POs participating in 2009. MAIN MEASURES: We measured PO SES using established methods that involved geo-coding 11,718 practice sites within 160 POs to their respective census tracts and weighting tract-specific SES according to the number of primary care physicians at each site. P4P performance was defined by IHA's program and was a composite mainly representing clinical quality, but also including measures of patient experience, information technology and registry use. KEY
resultsThe area-based PO SES measure ranged from -11 to +11 (mean 0, SD 5), and the IHA P4P performance score ranged from 23 to 86 (mean 69, SD 15). In bivariate analysis, there was a significant positive relationship between PO SES and P4P performance (p < 0.001). In multivariate analysis, a one standard deviation increase in PO SES was associated with a 44% increase (relative risk 1.44, 95%CI, 1.22-1.71) in the likelihood of a PO being ranked in the top two quintiles of performance (p < 0.001).
conclusionsPhysician organizations' performance scores in a major P4P program vary by the SES of the areas in which their practice sites are located. P4P programs that do not account for this are likely to pay higher bonuses to POs in higher SES areas, thus increasing the resource gap between these POs and POs in lower SES areas, which may increase disparities in the care they provide.
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