Challenges and Opportunities for Pay-for-Performance as Veteran Care Moves into the Community

Kondo K, Wyse J, Mendelson A, Beard G, Low A, Freeman M, Kansagara D. Challenges and Opportunities for Pay-for-Performance as Veteran Care Moves into the Community. 2017 Oct 1.

Pay-for-performance (P4P) is commonly used in the Veterans Health Administration (VHA) system, and is expected to be an important strategy to incentivize quality and appropriate utilization as Veteran care moves into the community. The purpose of the current project is to 1) assess the effects of pay-for-performance programs on the quality of care and health of Veterans, 2) identify potential unintended consequences of pay-for-performance programs targeting Veteran health, 3) identify performance metrics that have been incentivized in published P4P literature, 4) identify the program design features and implementation factors that might modify the effectiveness of P4P targeting Veteran populations, both in VHA settings and in the community, and 5) identify novel P4P approaches in VHA settings and Veterans Affairs (VA)-funded research examining P4P or related program features or implementation factors.