Paying for Performance in Primary Care

Potential Impact on Practices and Disparities

Published In: Health Affairs, v. 29, no. 5, May 2010, p. 926-932

Posted on RAND.org on April 30, 2010

by Mark W. Friedberg, Dana Gelb Safran, Kathryn L. Coltin, Marguerite Dresser, Eric C. Schneider

Read More

Access further information on this document at Project HOPE

This article was published outside of RAND. The full text of the article can be found at the link above.

Performance-based payments are increasingly common in primary care. With persistent disparities in the quality of care that different populations receive, however, such payments may steer new resources away from the care of racial and ethnic minorities and people of low socioeconomic status. We simulated performance-based payments to Massachusetts practices serving higher and lower shares of patients from these vulnerable communities in Massachusetts. Typical practices serving higher shares of vulnerable populations would receive less per practice compared to others, by estimated amounts of more than $7,000. These findings suggest that pay-for-performance programs should monitor and address the potential impact of performance-based payments on health care disparities.

This report is part of the RAND Corporation external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.