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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"Is More Information Better? The Effects of "Report Cards" on Health Care Providers,"
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"How do doctors behave when some (but not all) of their patients are in managed care?,"
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- Uri Gneezy & Aldo Rustichini, 2000. "Pay Enough or Don't Pay at All," The Quarterly Journal of Economics, Oxford University Press, vol. 115(3), pages 791-810.
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