Decoupling health care providers’ income from the volume and intensity of services they deliver is critical to the success of health care reforms intended to tie payment more closely with patient outcomes. This study will examine the provider payment reforms instituted by Fairview Health Services, an integrated health system in Minnesota that is discarding fee-for-service and replacing it with performance-based payment focusing on quality, productivity, patient experience, and cost. Using qualitative and quantitative methods, the investigators will study how physicians respond to the new compensation system and assess the impact over time on clinician behavior, quality of care, and cost containment. The findings will yield valuable insights at a time when payment reform is being implemented nationwide.
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