INDIANA IIEAITH LAW REVIEW VOLUME3 ISSUE 2 Introduction Eleanor D. Kinney MCDONALD-MERRILL-KETCHAM MEMORIAL AWARD FOR EXCELLENCE IN LAW AND MEDICINE History Recipients Pay-for-Performance: Will it Work in Theory? William M. Sage SYMPOSIUM Aligning Hospital and Physician Incentives in the Era of Pay-for-Performance William H. Thompson C. Paul Wazzan,Kali Prasun Chowdhury, An Economic Analysis of the Impact of Pay-for-Performance Initiatives on Physicians, Patients and Insurance Providers Pay-for-Performance in Centra/Indiana William R. Sellman, Michael A. Zimmerman David E. Kelleher, J. Marc Overhage ARTICLES Pay-for-Performance or Compliance? Richard Dolinar, S. Luke Leininger A Second Opinion on Medicare Reimbursement Report of the Council on Ethical Nathan A. Bostick, Robert M. Sade, and Judicial Affairs: Physician Pay-for- John W. McMahon Peiformance Programs Can Money Buy Quality? Physician Response to Pay-for-Peiformance Advancing Quality Through Collaboration: The California Pay-for-Performance Program 2006 Thomas Bodenheimer, Jessica H. May, Robert A. Berenson, Jennifer Coughlan Integrated Healthcare Association Indiana Health Law Review Volume3 2005-2006 Editor-in-Chief Richard W. Swett, Jr. Executive Managing Editor Paula J. Beller Executive Production Editor Kathryn A. Fox Executive Business Editor C. Jason Hannagan Executive Notes Editor Deborah C. Edwards Executive Anicles Editoi'S Joshua A. Claybourn Tammy R. Murray Note Development Editoi'S Richelle M. Harris Kristen W. Heath Kelly A. MacKinnon Erin W. Southwell A11iclesEditoi'S Paull. Carroll Meghann E. LaBadie Christopher J. McElwee April E. Meade AssocillteEditoi'S Timothy J. Hixson April A. Marshall Jaclyn M. Palos Chad A. Robertson Robin S. Tubesing Christopher A. Americanos Brent R. Borg Christopher M. Campaniolo Russell B. Cate Clifton B. Cislak Shana M. Collier Bernice V. Conway Richard C. Coming, Jr. Carly S. Everett Raegan M. Gibson Lauren N. Grattenthaler Angela K. Grogan Chelynne L. Harris Neil F. Hazaray Membei'S Lynn M. Hefner Adam Hollander-Urbach Shannon N. Jamison Kimberly A. Kessinger Leigh Ann Lauth DavidL. Nie Colleen M. Powers Elizabeth J. Raynor Beth A. Schenberg Rachel A. Scherer Scott I. Smith Danielle L. Spain Brandt R. Voight Jennifer L. Wilson · Faculty Advisoi'S Lawrence P. Wilkins (Chair) Eleanor D. Kinney David Orentlicher Robert A. Katz INDIANA HEALTH LAW REVIEW (ISSN 1549-3199) Content. The Indiana Health Law Review publishes articles submitted by academics, practitioners, and students on the topics ofhealth law and policy. The scope includes bioethics, malpractice liability, managed care, anti-trust, health care organizations, medical-legal research, legal medicine, and food and drug law. The Indiana Health Law Review will be published twice during the 2005-06 academic year. Disclaimer. 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MIRIAMA.MURPHY,AssociateDirectorofLaw Library. B.A., Purdue University; J.D.,M.L.S., Indiana University-Bloomington. KIYosm OTsu, Computer System Specialist. A.A., Parkland College; A.B., M.S., C.A.S., University oflliinois. INDIANA HEALTH LAW REVIEW Volume3 Issue 2 TABLE OF CONTENTS Introduction ............................ Eleanor D. Kinney xvii MCDONALD-MERRILL-KETCHAM MEMORIAL AWARD FOR EXCELLENCE IN LAW AND MEDICINE History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxi Recipients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxiii Pay-for-Performance: Will it Work in Theory? William M. Sage 303 SYMPOSIUM Aligning Hospital and Physician Incentives in the Era of Pay-for-Performance William H. Thompson An Economic Analysis of the Impact of Pay-for-Performance Initiatives on Physicians, Patients and Insurance Providers 325 . • . . . . • . . . . . . . . • . • C. Paul Wauan, Kali Prasun Chowdhury, William R. Sellman, Michael A. Zimmerman 349 Pay-for-Performance in Central Indiana ...................... David E. Kelleher, J. Marc Overhage 371 ARTICLES Pay-for-Performance or Compliance? A Second Opinion on Medicare Reimbursement ..........•............ Richard Dolinar, S. Luke Leininger 391 Report of the Council on Ethical and Judicial Affairs: Physician Pay-for-Performance Programs . . . . . . . Nathan A. Bostick, Robert M. Sade, John W. McMahon 421 Can Money Buy Quality? Physician Response to Pay-for-Performance . . . . . . • . . . . . . . • . . . . . . Thomas Bodenheimer, Jessica H. May, Robert A. Berenson, Jennifer Coughlan 443 Advancing Quality Through Collaboration: The California Pay-for­ Performance Program Integrated Healthcare Association 453 2006