Ethical Physician Incentives – – From Carrots and Sticks to Shared Purpose

Ethical Physician Incentives – – From Carrots and Sticks to Shared Purpose

For ACOs to be successful, they must improve the efficiency of care, meet patients’ expectations for care and clinical outcomes, and attract and retain top-quality professionals. Incentives like pay-for-performance bonuses are key management tools for achieving these goals. Taken alone, however, these incentives are of limited effectiveness and can pose ethical challenges for clinicians when it comes to patient care.

Instead, the authors recommend using an array of financial and nonfinancial incentives—including performance rankings that are openly discussed in group settings and performance report cards for value-based care—to help facilitate a broad “shared-purpose orientation” embraced by all participating clinicians.

http://www.commonwealthfund.org/Publications/In-Brief/2013/Mar/Ethical-Physician-Incentives.aspx