Program Results

Healthcare performance results recently released by IHA for measurement year 2008 include a comparison of average composite scores across the eight California regions in four performance measurement domains: clinical quality, patient experience, information technology-enabled systemness, and coordinated diabetes care.

In addition to overall improvement in these measures, results reveal considerable regional performance variation (particularly in clinical quality) and demonstrate that physician organizations' use of information technology (IT) is associated with better clinical quality. The full report and an executive summary on 2008 P4P Program Results are available in the related resources section (to the right).  

Under the IHA P4P Program, measurement year results are used for three purposes: health plan incentive payments to physician groups; public reporting of physician group performance; and determination of P4P awards.

Health Plan Incentive Payments

Each health plan determines its own budget and methodology for calculating and distributing payments to physician groups. Historically, most health plans made payments based on relative performance after physician groups have met minimum thresholds. More recently, (pay for improvement) has become a feature of the payment methodology of most participating plans.



In 2009, the IHA P4P program entered its sixth reporting and payment year and seventh measurement year. Bonus payments by participating health plans in 2009 totaled about $52 million, which represents an average of about 1% of base income of each physician group.

Public Report Cards

IHA partners with the California State Office of the Patient Advocate to produce an annual public report card of P4P results.

Public Report Cards

P4P Awards

Each year, IHA presents two sets of P4P awards: Top Performing Groups and Most Improved Groups.

P4P Awards