TY  - BOOK
AU  - Mullen, Kathleen J.
AU  - Frank, Richard G.
AU  - Rosenthal, Meredith B.
TI  - Can you get what you pay for? Pay for performance and the quality of healthcare providers
T2  - Working Paper
PY  - 2009///
CY  - Cambridge
PB  - National Bureau of Economic Research
KW  - POLÍTICAS SANITARIAS
KW  - DESARROLLO TERRITORIAL
KW  - MEDIDAS PREVENTIVAS
KW  - POLÍTICAS SOCIALES
KW  - GESTIÓN DEL PRESUPUESTO
KW  - SERVICIOS SOCIALES
KW  - PERSONAL SANITARIO
KW  - INFORMES
KW  - SISTEMAS DE SALUD
N1  - Introduction -- A model of provider response to pay-for-performance -- Setting -- Empirical strategy -- How did providers respond to pay-for-performance? -- Implications and conclusion
N2  - 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
UR  - http://www.nber.org/papers/w14886.pdf
ER  -