Forum Session

The Physician Group Practice Demo: Where Do We Take What We've Learned?
March 7, 2008


Lisa Sprague, MBA


The Physician Group Practice (PGP) Demonstration is the first pay-for-performance initiative for physicians in the Medicare program. Now in their third performance year, all of the ten participating groups have been able to document improved quality of care for a Medicare population. For this seniors-only meeting, representatives of four practices participating in the demonstration addressed the following questions:

  • What is your organization doing differently since the demo began?
  • What is the role of the financial incentive? In what ways, if any, have you changed your internal reward structure?
  • What have been your most significant lessons learned?
  • When the demo ends, will you be able to sustain some or all of the programs you have implemented?


Caroline S. Blaum, MD, MS, Associate Professor of Internal Medicine, Division of Geriatric Medicine, University of Michigan; James Lee, MD, Assistant Medical Director, The Everett Clinic; James T. Rogers, MD, FACP, Vice President, Medical Management Services, St. John’s Health System; Katherine Schneider, MD, Chief Medical Officer, Middlesex Health System

Related Materials

More information on the Medicare PGP Demonstration is available on the Centers for Medicare & Medicaid Services' Web site.

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