Table 2

Key Strengths and Weaknesses of Team-Level Quality Incentives

Strengths
Quality improvement for the team
 Compelled to do better so colleagues are not “hurt”
 Working harder with partners’ patients because of team incentive
Less patient “dumping” (shifting patients with poor outcomes to other physicians)
Mixed
Positive team dynamics
 Greater collaboration and teamwork
 More learning from colleagues
 Report helping others to improve quality metrics
Negative team dynamics
 Greater overall tension and peer pressure
 Resentment over how others are practicing/level of quality
Weaknesses
Lack of control over compensation
Free riding