This study models the impact of different pay-for-performance (P4P) incentives on the financial health of Critical Access Hospitals (CAHs).
The briefing papers provide greater depth and discussion than the associated policy briefs, which are designed to summarize key findings and identify important trends.
- Pay-for-performance (P4P) incentives likely reduce the financial status of CAHs already in financial stress. However, P4P incentives are likely to have only a modest impact on the financial stability of CAHs.
- If P4P programs lead to increased hospital quality, those benefits would not have to be accomplished at the expense of putting CAHs in greater financial jeopardy.
- CAHs should be included in future P4P initiatives to provide a clear understanding of how payment incentives affect the quality of care in small rural hospitals.