Can you get what you pay for? Pay for performance and the quality of healthcare providers
Idioma: Inglés Series Working Paper ; 14886Cambridge National Bureau of Economic Research 2009Descripción: 43 páginasTema(s): Recursos en línea: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.
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