Attribution and Enrollment

Clear attribution and enrollment models ensure that both payers and providers know which patients are enrolled in a pilot and are a key foundation of enhanced fee-for-service, pay for performance, shared savings, and global payment models.


Presents key considerations for states when developing assignment models that were gleaned from challenges and lessons learned from multi-payer initiatives in Maryland, Massachusetts, Michigan, and Rhode Island.

  • Pope, Gregory C. 2011. “Attributing Patients to Physicians for Pay for Performance.” In Pay for Performance in Health Care: Methods and Approaches, ed. Cromwell, Jerry, Michael G. Trisolini, Gregory C. Pope, Janet B. Mitchell, and Leslie M. Greenwald. RTI International.Discusses various factors of patient attribution models, including examples from Medicare fee-for-service and commercial insurers.