---
title: "Frequency of pay-for-performance payments. | Sutter Health"
description: "To examine the effects of incentive payment frequency on quality measures in a physician-specific pay-for-performance experiment."
url: "https://www.sutterhealth.org/research/publications/frequency-of-pay-for-performance-payments-1055312614"
---

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# Does the frequency of pay-for-performance payment matter? Experience from a randomized trial.

Chung S, Palaniappan L, Wong E, Rubin HR, & and Luft HS.

_Health Serv Res 45(2):553-64. doi: 10.1111/j.1475-6773.2009.01072.x. Epub 2009 Dec 31._

2010-04-01

## Abstract

OBJECTIVE: To examine the effects of incentive payment frequency on quality measures in a physician-specific pay-for-performance (P4P) experiment.

STUDY SETTING: A multispecialty physician group practice.

STUDY DESIGN: In 2007, all primary care physicians (n=179) were randomized into two study arms differing by the frequency of incentive payment, either four quarterly bonus checks or a single year-end bonus (maximum of U.S.$5,000/year for both arms).

DATA COLLECTION/EXTRACTION METHODS: Data were extracted from electronic health records. Quality measure scores between the two arms over four quarters were compared.

PRINCIPAL FINDINGS: There was no difference between the two arms in average quality measure score or in total bonus amount earned.

CONCLUSIONS: Physicians' responses to a P4P program with a small maximum bonus do not differ by frequency of bonus payment.

[PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/?term=Does+the+frequency+of+pay-for-performance+payment+matter%3F)

## Research topics

-   [Health Policy](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Policy%5C%22%22)
-   [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22)

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