Will Value Based Purchasing Work?

The Premier Pay-for-Performance Demonstration project in Medicare shows a tapering trend of quality improvement both for participating and non-participating hospitals. Perhaps secular trends, not P4P, are responsible for this. The National Demonstration Project is a national pay-for-performance … Continue reading

Engaging All Payers

Price discrimination in health care means each insurer pays a different amount for the same service. A prominent health policy expert suggests a move to an “all-payer” system as implemented in Germany, Switzerland, and Maryland. United States health care payments are negotiated between … Continue reading