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Transforming Primary Care Payment in Hawaii
Sponsor: University of Pennsylvania
Summary
To design an innovative payment system that improves upon fee-for-service (FFS), incorporates behavioral economic principles, and improves work satisfaction among primary care physicians (PCPs) while improving quality and reducing health spending at the state level. Second, to test the incremental effectiveness of two additional interventions: (1) shared financial incentives between physicians and poorly controlled diabetes and (2) social comparisons ranking physicians on quality metric performance and total cost of care.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
117
Start Date
2016-04
Completion Date
2026-07
Last Updated
2025-08-19
Healthy Volunteers
No
Conditions
Interventions
New Payment Model
Providers will no longer be paid based upon FFS, but on the new payment model, which includes PMPM and quality incentives.
Social Comparisons
Providers will receive weekly emails showing comparisons in quality metrics and total cost of care. They will be compared to other providers in their provider organization.
A1c Member/Provider Incentive
Attributed members and their PCPs will receive up to $75 for a reduction of a1c by 0.5% per quarter (2 quarters).