Health reform logo

Health Care Quality Measures - Quality Incentive Payment System

The 2008 Health Reform Law calls for the establishment of a statewide system of quality-based incentive payments to health care providers. These payments are sometimes also called “pay-for-performance” incentives. This system will be used by public and private health care purchasers. This more coordinated approach to measuring, reporting and paying for health care quality will create stronger incentives for health care providers to improve quality and will put more useful and understandable information in the hands of Minnesota health care consumers.

The health care quality measures have been used to develop the system of quality incentive payments to health care providers, based upon achieving target levels of performance or based on improvement over time.

By July 1, 2010, the incentive payment system must be implemented for participants in the state employee health plan and enrollees in state public insurance programs (in a manner consistent with other federal and state laws and regulations).


Quality Incentive Payment System Report - Annual Update 2011

The Commissioner of Health will annually review, evaluate and update the Quality Incentive Payment System framework.  Based on this review and an open comment period yielding no stakeholder concerns, the final 2011 framework is available below. This report describes both the methodology and the quality measures included in the Quality Incentive Payment System.

Minnesota Statewide Quality Reporting and Measurement System: Quality Incentive Payment System - Updated March 2011 (PDF: 223KB/14 pages)


Final Recommendations

Final recommendations are now available for public review:

Quality Incentive Payment System Measures and Methodology – Final Recommendations with Appendices (PDF: 1.2 MB/184 pages)


Preliminary Recommendations

The preliminary recommendations are also available for review:

Quality Incentive Payment System Measures and Methodology – Preliminary Recommendations (PDF: 117KB/13 pages)

Appendix A (PDF: 325KB/45 pages)

Appendix B (PDF: 235KB/24 pages)


Public Meetings

On behalf of MDH, MN Community Measurement held two public meetings in St. Paul and Duluth the week of February 23, 2009, to present the preliminary recommendations and solicit stakeholder input.

St. Paul Meeting
Monday, February 23, 2009

Agenda (PDF: 63KB/1 page)


Duluth Meeting

Tuesday, February 24, 2009

Agenda (PDF: 68KB/1 page)

Background Information

MN Community Measurement produced a comprehensive national inventory of existing incentive payment systems, pay-for-performance systems and other payment systems, as well as an inventory of performance measures in current use for pay-for-performance programs:

Inventory and Literature Review: Pay-for-Performance Methods and Structure (PDF: 286KB/45 pages)

Inventory: Performance Measures in Current Use for Pay-for-Performance Program (PDF: 178KB/21 pages)

Updated Tuesday, 08-Mar-2011 16:16:44 CST