Advocates for Evidence-Based Health Policy Speakers
Category: Pay for Performance (P4P)
Converting financial incentives into quality
Pay-for-performance in health care seeks to correct the unconscionably low level of quality provided to some patients. In practice, achieving quality through financial incentives continues to prove a difficult endeavor. Pay-for-performance (P4P) in healthcare emerged as a result of two Continue Reading …
Gaming the System
Process measures for quality are subject to unintended consequences such as system gaming. As we have seen in diabetes care, this quality measure for bronchitis appears to have been manipulated by clinicians as well. Conventional wisdom backed by extensive data Continue Reading …
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 program considered to Continue Reading …
Pay-for-performance goes global
Policy makers seek to transform healthcare delivery at home and abroad by shifting payment from volume-based to quality-based methods. This study explores elements common across pay-for-performance in 13 countries. Policy makers at home and abroad have embraced pay-for-performance (P4P) as Continue Reading …
Using Malpractice Claims as a Proxy for Quality
“Doctors are just the same as lawyers; the only difference is that lawyers merely rob you, whereas doctors rob you and kill you too.” – Anton Chekhov Quality in health care has become a large driving force for managers, clinicians, Continue Reading …