PacifiCare Health Systems will distribute $14 million as its first reimbursement under a pay-for-performance initiative it launched last year to reward California physician groups that improve quality of care and service. The incentive payments will be distributed in early July among 124 medical groups that scored above the 75th percentile on 16 measures of preventive care, disease management, hospital safety and patient satisfaction. Subsequent payouts will occur quarterly. Groups have improved by 28% in 12 of the 16 measures since the voluntary program began, PacifiCare said. The Santa Ana, Calif.-based company's efforts are related to a statewide initiative launched in January by the Integrated Healthcare Association, a managed care policy development group in Walnut Creek, Calif., and five additional California HMOs. The HMOs will distribute $150 million annually to medical groups that excel on a number of standard measures. A scorecard will be published next year comparing all participating groups. -- by Laura B. Benko
PacifiCare to distribute 'pay for performance'
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