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

Arye Hillman (), K. Ripley, N. Goldfarb, I. Nuamah, J. Weiner and E. Lusk

American Journal of Public Health, 1998, vol. 88, issue 11, 1699-1701

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.

Date: 1998
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:1998:88:11:1699-1701_5

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