Program Results

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

P4P Awards

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

P4P Award Winners 

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


Health Plan Incentive Payments

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



* Total payouts are for seven health plans using P4P results for incentive payments.
** Includes Kaiser Permanente Northern California starting in MY 2004. Includes Kaiser Permanente Southern California starting in MY 2005. Kaiser Permanente participates in public reporting only.

In 2010, the IHA P4P program entered its seventh reporting and payment year and eigth measurement year. Bonus payments by participating health plans in 2010 totaled about $49 million, which represents an average of about 1% of base income of each physician organization.