Pay-for-performance and public reporting program participation and administrative challenges among small- and medium-sized physician practices

Academic Article


  • A key component of efforts to improve the quality of care in the United States is the use of public reporting and pay-for-performance programs. Little is known, however, about the extent to which small- and medium-sized physician practices are participating in these programs. This study examined the participation of small- and medium-sized physician practices in pay-for-performance and public reporting programs and the characteristics of the participating practices. Using cross-sectional data from a national sample of 1,734 small- and medium-sized physician practices throughout the United States, we found that many practices (61.2%) were participating in at least one program, while far fewer (19.2%) were participating in multiple programs. Among practices participating in multiple programs, relatively few (21.9%) reported high levels of administrative problems due to a lack of standardization on performance measures. The study also suggests that some structural features are associated with participation and may provide leverage points for fostering participation. © The Author(s) 2013.
  • Authors

    Digital Object Identifier (doi)

    Author List

  • Hearld LR; Alexander JA; Shi Y; Casalino LP
  • Start Page

  • 299
  • End Page

  • 312
  • Volume

  • 71
  • Issue

  • 3