"Pay for performance" rewards doctors, hospitals, and other health care providers for attaining targeted service goals, like meeting health care quality or efficiency standards. RAND research has explored a range of policy and economic implications related to the use of pay-for-performance delivery models.
JOURNAL ARTICLE
As health care reform expands the use of "report cards" to grade health care providers, greater attention to reporting methods may be needed to assure the quality of such efforts.
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We used patient-level quality scores from the Hospital Quality Alliance and ranked hospitals by overall quality and by racial/ethnic disparities and modeled the effects of different pay-for-performance designs on national disparity scores.
JOURNAL ARTICLE
Under bundled payments, doctors, hospitals, and other providers share one fee for treating all aspects of a procedure such as a hip replacement or a chronic disease like diabetes. The approach should eliminate unnecessary care and improve quality, but putting it into practice is proving to be more difficult than anticipated.
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This white paper prepared for the Agency on Healthcare Research and Quality examines methodological issues raised by the generation of public-reporting of scores for measuring health care provider performance.
REPORT
This paper outlines the issues, and finds merit in developing non-standard incentives, such as prizes, to support excellence in health research in addition to 'standard' performance management and routine inspection.
REPORT
Germany's National Association of Statutory Health Insurance Physicians is looking to develop a unified reimbursement framework that accounts for regional prices and incorporates quality indicators. Research by RAND Europe has informed the development of the quality component of the proposed framework.
REPORT
As the health care industry, employers, and government officials seek to control the growth of health spending, new efforts are needed to develop and refine quality-of-care and other performance measures that can assure changes will improve medical care and do not harm patients.
NEWS RELEASE
As the health care industry, employers, and government officials seek to control the growth of health spending, new efforts are needed to develop and refine quality-of-care and other performance measures that can assure changes will improve medical care and do not harm patients.
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The findings suggest that payers should be hesitant to use pay-for-performance as a mechanism for reducing disparities until a wide variety of concerns about the design of such programs can be addressed.
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Although pay for performance incentives are increasingly popular, the healthcare literature shows that these have had minimal effect. Design improvements in these programs can enhance their effectiveness.
NEWS RELEASE
Rewarding primary care physicians for providing better care to patients could end up widening medical disparities experienced by poorer people and by minorities. Increasing the number of primary care physicians is also not enough to boost U.S. health care quality and lower costs.
JOURNAL ARTICLE
Rewarding primary care physicians for providing better care to patients could end up widening medical disparities experienced by poorer people and by minorities. Increasing the number of primary care physicians is also not enough to boost U.S. health care quality and lower costs.
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Pay-for-performance, transparency, and other innovative ways of compensating physicians will only work if, at the same time, the system for providing care has clear objectives and specific tools to help physicians achieve those objectives.
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Pay-for-performance incentives improve physician-patient communication, care coordination, and interaction with office staff.
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Assess the robustness of patient responses to a new national survey of patient experience as a basis for providing financial incentives to doctors.
REPORT
This document explores how physician pay for performance (P4P) programs would affect health system performance along nine dimensions.
REPORT
This document explores how hospital pay for performance (P4P) programs would affect health system performance along nine dimensions.
NEWS RELEASE
A new RAND study outlines methods that might be used to test a novel payment system for medical care that would provide doctors, hospitals and other health providers a set fee for treating an ailment such as hip replacement surgery.
JOURNAL ARTICLE
A new study outlines methods that might be used to test a novel payment system for medical care that would provide doctors, hospitals and other health providers a set fee for treating an ailment such as hip replacement surgery.
REPORT
Although hospitals and managed care facilities have used performance measurement for some time, the focus on doctor profiling by purchasers and health plans is relatively new, bringing to the fore the limitations of available physician data and proving the need for reliability measures in physician profiling.
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