U.S. Healthcare Payer Pay-for-Performance Survey: Current State and Emerging Models

Table of Contents

• Table of Contents
• Health Industry Insights Opinion
• In This Report
  • Methodology
  • Respondent Demographics
• Situation Overview
  • Survey Findings
    • I. Program Maturity and Focus
    • Figure: Age of Pay-for-Performance Program
      • Implications and Analysis
    • II. Implementation Across Health Plan Products
    • Figure: Health Plan Products with Pay-for-Performance Initiatives
      • Implications and Analysis
    • III. Pay-for-Performance Program Incentives
    • Figure: Pay-for-Performance Incentive Type by Age of Program
      • Implications and Analysis
    • IV. Pay-for-Performance Criteria
    • Figure: Pay-for-Performance Assessment Criteria
      • Implications and Analysis
    • V. Pay-for-Performance Investment - Relationship to Investments in Care Management Initiatives
    • Figure: Existence of Key Care Management Initiatives
      • Disease Management Alignment Disconnects
      • Information Disconnect
      • Figure: Pay-for-Performance Incentives by Age of Program
      • Implications
    • VI. Pay-for-Performance Program Budgeting
      • Dedicated Budgets
      • Figure: Pay-for-Performance Budget, 2006 and 2007
      • Figure: Pay-for-Performance Budget Categories, 2006 and 2007
      • Implications
    • Pay-for-Performance Budgets as a Percentage of Total Health Plan Budget
    • Figure: Share of Total Health Plan Budget Devoted to Pay for Performance, 2006 and 2007
      • Implications and Analysis
• Future Outlook
• Essential Guidance
• Learn More
  • Related Research
  • Synopsis