The study, which originally appeared in the May Journal of General Internal Medicine, analyzed 160 physician organizations with 11,718 practice sites participating in a pay-for-performance program of Oakland, Calif.-based Integrated Healthcare. The program paid $45 million to participating physician organizations in 2011 based on whether the physicians met a set of quality measures for patient care provided during the previous year.
The average pay-for-performance score for physician organizations in the Integrated Healthcare program was 69. However, practices in the lowest socioeconomic areas only scored a mean of 62, whereas practices in the highest socioeconomic areas scored a mean of 76. Socioeconomic status of the practice’s location does not factor into quality performance measures for Integrated Healthcare pay-for-performance participants.
Authors of the study suggest pay-for-performance programs should factor in a practice’s socioeconomic status to reduce gaps. Additionally, the authors suggest studying outlying physician practices that perform exceedingly well in lower socioeconomic areas to learn how to improve patient care in lower income communities.
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