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Physician financial incentives and feedback: Failure to increase cancer screening in Medicaid managed care

Author

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  • Hillman, A.L.
  • Ripley, K.
  • Goldfarb, N.
  • Nuamah, I.
  • Weiner, J.
  • Lusk, E.

Abstract

Objectives. A randomized controlled trial evaluated the impact of feedback and financial incentives on physician compliance with cancer screening guidelines for women 50 years of age and older in a Medicaid health maintenance organization (HMO). Methods. Half of 52 primary care sites received the intervention, which included written feedback and a financial bonus. Mammography, breast exam, colorectal screening, and Pap testing compliance rates were evaluated. Results. From 1993 to 1995, screening rates doubled overall (from 24% to 50%), with no significant differences between intervention and control group sites. Conclusions. Financial incentives and feedback did not improve physician compliance with cancer screening guidelines in a Medicaid HMO.

Suggested Citation

  • Hillman, A.L. & Ripley, K. & Goldfarb, N. & Nuamah, I. & Weiner, J. & Lusk, E., 1998. "Physician financial incentives and feedback: Failure to increase cancer screening in Medicaid managed care," American Journal of Public Health, American Public Health Association, vol. 88(11), pages 1699-1701.
    • Handle: RePEc:aph:ajpbhl:1998:88:11:1699-1701_5
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    Cited by:

    1. Panayotis Constantinou & Jonathan Sicsic & Carine Franc, 2017. "Effect of pay-for-performance on cervical cancer screening participation in France," International Journal of Health Economics and Management, Springer, vol. 17(2), pages 181-201, June.
    2. Herbst, T. & Foerster, J. & Emmert, M., 2018. "The impact of pay-for-performance on the quality of care in ophthalmology: Empirical evidence from Germany," Health Policy, Elsevier, vol. 122(6), pages 667-673.
    3. Frolich, Anne & Talavera, Jason A. & Broadhead, Peter & Dudley, R. Adams, 2007. "A behavioral model of clinician responses to incentives to improve quality," Health Policy, Elsevier, vol. 80(1), pages 179-193, January.
    4. Claudia Keser & Emmanuel Peterlé & Cornelius Schnitzler, 2014. "Money talks - Paying physicians for performance," CIRANO Working Papers 2014s-41, CIRANO.
    5. Philippe Batifoulier & Maryse Gadreau & Yves Arrighi & Yann Videau & Bruno Ventelou, 2009. "Disentangling extrinsic and intrinsic motivations: the case of French GPs dealing with prevention," Working Papers hal-04140879, HAL.
    6. Grant Miller & Kimberly Singer Babiarz, 2013. "Pay-for-Performance Incentives in Low- and Middle-Income Country Health Programs," NBER Working Papers 18932, National Bureau of Economic Research, Inc.
    7. Asadi-Aliabadi, Mehran & Karimi, Seyed M & Tehrani-Banihashemi, Arash & Mirbaha-Hashemi, Fariba & Janani, Leila & Babaee, Ebrahim & Nojomi, Marzieh & Moradi-Lakeh, Maziar, 2022. "Effectiveness of pay for performance to non-physician health care providers: A systematic review," Health Policy, Elsevier, vol. 126(7), pages 592-602.
    8. Jinhu Li & Jeremiah Hurley & Philip DeCicca & Gioia Buckley, 2014. "Physician Response To Pay‐For‐Performance: Evidence From A Natural Experiment," Health Economics, John Wiley & Sons, Ltd., vol. 23(8), pages 962-978, August.
    9. Frank Eijkenaar, 2013. "Key issues in the design of pay for performance programs," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(1), pages 117-131, February.
    10. Singh, Prakarsh & Masters, William A., 2017. "Impact of caregiver incentives on child health: Evidence from an experiment with Anganwadi workers in India," Journal of Health Economics, Elsevier, vol. 55(C), pages 219-231.
    11. Robyn, Paul Jacob & Bärnighausen, Till & Souares, Aurélia & Traoré, Adama & Bicaba, Brice & Sié, Ali & Sauerborn, Rainer, 2014. "Provider payment methods and health worker motivation in community-based health insurance: A mixed-methods study," Social Science & Medicine, Elsevier, vol. 108(C), pages 223-236.
    12. Randall P. Ellis & Bruno Martins & Michelle McKinnon Miller, 2015. "Provider Payment Methods and Incentives," Boston University - Department of Economics - Working Papers Series wp2015-023, Boston University - Department of Economics.
    13. Nicolas da Silva, 2012. "Motivation et performance des médecins. Un examen de la littérature empirique," Post-Print hal-01480872, HAL.
    14. Lee, Jin Yong & Lee, Sang-Il & Kim, Nam-Soon & Kim, Seon-Ha & Son, Woo-Seung & Jo, Min-Woo, 2012. "Healthcare organizations’ attitudes toward pay-for-performance in Korea," Health Policy, Elsevier, vol. 108(2), pages 277-285.
    15. Linda Alley & Brian S. Armour & Jeff Etchason & Carol Friedman & M. Melinda Pitts & Jennifer Wike, 2003. "The influence of year-end bonuses on colorectal cancer screening," FRB Atlanta Working Paper 2003-41, Federal Reserve Bank of Atlanta.
    16. Mauro, Marianna & Rotundo, Giorgia & Giancotti, Monica, 2019. "Effect of financial incentives on breast, cervical and colorectal cancer screening delivery rates: Results from a systematic literature review," Health Policy, Elsevier, vol. 123(12), pages 1210-1220.

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