Pay-for-performance as a cost-effective implementation strategy: results from a cluster randomized trial.

ABSTRACT:

Background

Pay-for-performance (P4P) has been recommended as a promising strategy to improve implementation of high-quality care. This study examined the incremental cost-effectiveness of a P4P strategy found to be highly effective in improving the implementation and effectiveness of the Adolescent Community Reinforcement Approach (A-CRA), an evidence-based treatment (EBT) for adolescent substance use disorders (SUDs).

Methods

Building on a $30 million national initiative to implement A-CRA in SUD treatment settings, urn randomization was used to assign 29 organizations and their 105 therapists and 1173 patients to one of two conditions (implementation-as-usual (IAU) control condition or IAU+P4P experimental condition). It was not possible to blind organizations, therapists,

SUBMITTER: Garner BR 

PROVIDER: S-EPMC6033288 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature