Can you get what you pay for? Pay-for-performance and the quality of healthcare providers
Despite the popularity of pay-for-performance (P4P) among health policy makers 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. Copyright (c) 2010, RAND.
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Volume (Year): 41 (2010)
Issue (Month): 1 ()
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- David Dranove & Daniel Kessler & Mark McClellan & Mark Satterthwaite, 2003.
"Is More Information Better? The Effects of "Report Cards" on Health Care Providers,"
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- David Dranove & Daniel Kessler & Mark McClellan & Mark Satterthwaite, 2002. "Is More Information Better? The Effects of 'Report Cards' on Health Care Providers," NBER Working Papers 8697, National Bureau of Economic Research, Inc.
- Glied, Sherry & Zivin, Joshua Graff, 2002.
"How do doctors behave when some (but not all) of their patients are in managed care?,"
Journal of Health Economics,
Elsevier, vol. 21(2), pages 337-353, March.
- Sherry Glied & Joshua Zivin, 2000. "How Do Doctors Behave When Some (But Not All) of Their Patients are in Managed Care?," NBER Working Papers 7907, National Bureau of Economic Research, Inc.
- Uri Gneezy & Aldo Rustichini, 2000. "Pay Enough Or Don'T Pay At All," The Quarterly Journal of Economics, MIT Press, vol. 115(3), pages 791-810, August.
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