Can you get what you pay for? Pay for performance and the quality of healthcare providers
Mullen, Kathleen J.
Can you get what you pay for? Pay for performance and the quality of healthcare providers - 43 páginas - Working Paper 14886 .
Introduction -- A model of provider response to pay-for-performance -- Setting -- Empirical strategy -- How did providers respond to pay-for-performance? -- Implications and conclusion
Despite the popularity of pay-for-performance (P4P) among health policymakers and private insurers as a tool for improving quality of care, there is little empirical basis for its effectiveness. We use data from published performance reports of physician medical groups contracting with a large network HMO to compare clinical quality before and after the implementation of P4P, relative to a control group. We consider the effect of P4P on both rewarded and unrewarded dimensions of quality. In the end, we fail to find evidence that a large P4P initiative either resulted in major improvement in quality or notable disruption in care.
POLÍTICAS SANITARIAS
DESARROLLO TERRITORIAL
MEDIDAS PREVENTIVAS
POLÍTICAS SOCIALES
GESTIÓN DEL PRESUPUESTO
SERVICIOS SOCIALES
PERSONAL SANITARIO
INFORMES
SISTEMAS DE SALUD
Can you get what you pay for? Pay for performance and the quality of healthcare providers - 43 páginas - Working Paper 14886 .
Introduction -- A model of provider response to pay-for-performance -- Setting -- Empirical strategy -- How did providers respond to pay-for-performance? -- Implications and conclusion
Despite the popularity of pay-for-performance (P4P) among health policymakers and private insurers as a tool for improving quality of care, there is little empirical basis for its effectiveness. We use data from published performance reports of physician medical groups contracting with a large network HMO to compare clinical quality before and after the implementation of P4P, relative to a control group. We consider the effect of P4P on both rewarded and unrewarded dimensions of quality. In the end, we fail to find evidence that a large P4P initiative either resulted in major improvement in quality or notable disruption in care.
POLÍTICAS SANITARIAS
DESARROLLO TERRITORIAL
MEDIDAS PREVENTIVAS
POLÍTICAS SOCIALES
GESTIÓN DEL PRESUPUESTO
SERVICIOS SOCIALES
PERSONAL SANITARIO
INFORMES
SISTEMAS DE SALUD