SPC decided on HbA1c as a process measure for its P4P program and is now considering three
methods of allocating rewards. For each of the measures below, a physician receives a $5,000 bonus if:
- the percent of their diabetic patients that had at least two HbA1c tests in the past year is greater
than the state average of 80 percent (relative performance).
- the percent of their diabetic patients that had at least two HbA1c tests in the past year is greater
than the state goal of 90 percent (benchmark performance).
- the difference in the percent of their diabetic patients that had at least two HbA1c tests in the past year
compared to the previous year is greater than 10 percent (improvement performance).
The percent of diabetic patients that had at least two HbA1c tests in the past year for each SPC physician
is shown below:
Physician	Jan-Jun	Jul-Dec
A	60%	76%
B	70%	81%
C	80%	81%
D	90%	91%
a) For the Jul-Dec period, what would be each physician's P4P if rewards were allocated based on
relative, benchmark, and improvement performance?
b) Which method(s) of allocating rewards would you recommend?
ANSWER