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.
Year of publication: |
2010
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Authors: | Mullen, Kathleen J. ; Frank, Richard G. ; Rosenthal, Meredith B. |
Published in: |
RAND Journal of Economics. - RAND, ISSN 0741-6261. - Vol. 41.2010, 1, p. 64-91
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Publisher: |
RAND |
Saved in:
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