An essay on the use of merit pay scales as incentives in health care

In recognition of this fact, many businesses have capitalized on worker ambition by implementing a merit-based payment structure, tying compensation directly to the performance of individual employees. This can be advantageous for both employee and employer, provided a mutually beneficial and well-developed merit pay system is in place. Merit Pay Defined Merit-based wage structures are more complicated than traditional compensation plans. Under such a wage plan, performance is measured against standards and the results are used to increase pay grades and determine promotions rather than a more traditional annual review that focuses on equitable pay among colleagues.

An essay on the use of merit pay scales as incentives in health care

History[ edit ] Merit pay's roots lie in behavioral psychology and incentive theory. These theories are based in the belief that people are rational and react to incentives and that you can increase performance with the correct catalyst. TAP is currently in place in more than schools all across the United States.

In this program, salary raises are based on some aspects of teacher performance, measured by a combination of observations and student test scores. TAP teachers can advance their career in three ways: This program is focused on helping teachers improve performance by learning from others.

Teachers are put into small groups that—for a few hours each week—collaborate about what's working in the classroom. The opportunity allows teachers to build skills that will improve classroom learning. The school has also reduced the number of students scoring "below basic level of math" by 46 percent.

TAP seems to do better at the elementary school level, but in fact does worse than non-TAP schools in grades 6 through According to the U. Department of Educationthe TIF "supports efforts to develop and implement performance-based teacher and principal compensation systems in high-need schools.

According to an article by the Center for American Progressan evaluation of programs supported by TIF, such as Denver's ProComp program and the Nashville study both discussed belowhas shown initial evidence that performance-based pay has had a positive effect on student achievement.

In this program, teachers are given nine ways to increase their earnings, such as working in a high-needs schools, exceeding expectations on state exams, meeting professional objectives set at the beginning of the year, receiving a worthy evaluation from a principal, and gaining "distinguished school" status by meeting mixed criteria such as parent satisfaction.

Inan evaluation report detailing effects of ProComp was issued. This report highlighted several key findings in both district-wide student achievement trends, as well as in student achievement outcomes relating to teacher hiring effects. On a district-wide level, the evaluation showed a substantial increase in mathematics and reading achievement from the immediate time period before ProComp's implementation compared to time period subsequent to the implementation.

Additionally, teachers hired after the implementation of ProComp showed higher first-year achievement compared to those hired before the program's implementation.

The National Center on Performance Incentives conducted a three-year study in the metropolitan Nashville School System from throughin which middle school mathematics teachers participated in an experiment to evaluate the effect of financial rewards for teachers whose students showed large gains on standardized tests.

As stated in the study's final findings report, "The experiment was intended to test the notion that rewarding teachers for improved scores would cause scores to rise. Students of teachers assigned to the treatment group eligible for bonuses did not outperform students whose teachers were assigned to the control group that was not eligible for bonuses.

Effort versus selection[ edit ] Most analyses of merit pay, including the Nashville Study, consider whether or not the existing teachers in a school perform better after being offered pay for performance. Scores might go up if teachers work harder or "work better. On the other hand, an additional feature of performance pay might be improved "selection" of who enters and who stays in teaching.

For example, a different group of teachers might be induced to enter the teacher profession if pay was aligned more with performance.

And, the best teachers, the ones who get the added performance pay, may on average be induced to stay in the classroom longer. These larger impacts through changes in selection would not show up on the evaluations previously conducted but can show up on overall comparisons of countries that do and do not employ performance pay systems.

How Businesses Use “Pay for Performance”

Ludger Woessmann finds evidence that performance pay does improve performance when viewed across countries. They proposed the notion that individuals assign value to gains and losses rather than to final assets.

This notion of people hating to lose, more than they like gaining something, even if the potential amount that could be lost is the same as the amount to be gained, has been tested in many arenas. An experiment conducted by Kahneman et al.

Motivating Employees

The endowment effect reveals the notion that people place a higher value on objects they own relative to objects they do not. The Coase theorem focuses on transaction costs and the importance of who owns a particular commodity.

Kahneman attributed this result to loss aversion: The tendency of investors revealed they held on to losing investments too long and sold winning investments too soon.

An essay on the use of merit pay scales as incentives in health care

Their behavior did not appear to be motivated by rational re-balancing of portfolios or to avoid higher trading costs.

According to Odean, these investors held on to these losing stocks in order to prolong the feeling of loss from selling them, even though there was no evidence that by holding onto them, they would rise in value.Merit Pay Scales As Incentives In Health Care 1, words The use of Merit Pay Scales as Incentives in Health Care The purpose of this paper is to explore the use of Merit Pay and Incentives as motivators for increased productivity.

B. cannot be tied to the performance of an individual, whereas merit increases can be tied to the performance of an individual. C. rely on a subjective measure of performance, whereas merit increases rely on an objective measure of performance.

D. are relational returns, whereas merit increases are part of the total compensation. The use of merit pay scales as incentives in health care The purpose of this paper is to explore the use of Merit Pay and Incentives as motivators for increased productivity.

The key focus is the system at Richmond Memorial Hospital. Essay Topics. Area & Country Studies Essays (1, ) Art Essays (8, ) Businesss Research Papers (20, ) Humanities Essays (12, ) The use of Merit Pay Scales as Incentives in Health Care. the system at Richmond Memorial Hospital. To do so, one must begin at the beginning.

Merit pay - Wikipedia

Merit pay, merit increase or pay for performance, is performance-related pay, most frequently in the context of educational reform or government civil service reform. It provides bonuses for workers who perform their jobs effectively, according to easily measurable criteria.

In the United States, policy makers are divided on whether merit pay should be offered to public school teachers, and other public . Incentive pay, also known as "pay for performance" is generally given for specific performance results rather than simply for time worked.

While incentives are not the answer to all personnel challenges, they can do much to increase worker performance.. In this chapter we discuss casual and structured incentives.

Incentive Pay (pay for performance)