What is it about?

Giving financial rewards to contracted healthcare providers for better patient outcomes is known as "pay-for-performance." In this trial of patients from a large county in California that frequently end up in psychiatric emergency care services, financial rewards for a contractor did no better at reducing costs than the usual services provided by the county.

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Why is it important?

This study was the first trial to test if pay-for-performance can reduce the cost of care for psychiatric patients. Alternatives to reducing the cycle of hospitalization for these patients are needed, or perhaps better implementation of pay-for-performance programs.

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This page is a summary of: A Randomized Controlled Trial of a Pay-for-Performance Initiative to Reduce Costs of Care for High-Need Psychiatric Patients, Psychiatric Services, April 2024, American Psychiatric Association,
DOI: 10.1176/appi.ps.20230481.
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