RAND Research Topic: Health Care Pay For Performance 2012-05-24T20:40:56Z Copyright (c) 2012, The RAND Corporation RAND Corporation http://www.rand.org/topics/health-care-pay-for-performance.html Ways to Improve Health Care Provider 'Report Cards' http://www.rand.org/pubs/external_publications/EP20120051.html Mar 5, 2012 Mar 5, 2012 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. Pay-for-performance Programs to Reduce Racial/Ethnic Disparities: What Might Different Designs Achieve? http://www.rand.org/pubs/external_publications/EP20120046.html Feb 1, 2012 Feb 1, 2012 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. Bundling Payments to Curb Health Care Costs Proves Difficult to Realize http://www.rand.org/pubs/external_publications/EP201100242.html Nov 7, 2011 Nov 7, 2011 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. Methodological Considerations in Generating Provider Performance Scores for Use in Public Reporting: A Guide for Community Quality Collaboratives http://www.rand.org/pubs/external_publications/EP201100198.html Aug 31, 2011 Aug 31, 2011 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. A Prize Worth Paying? Non-standard ways to support and reward excellence in health research and development in the UK NHS http://www.rand.org/pubs/occasional_papers/OP338.html Jun 28, 2011 Jun 28, 2011 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. Paying for Quality in the German Healthcare System http://www.rand.org/pubs/technical_reports/TR946.html Mar 22, 2011 Mar 22, 2011 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. Investment in New Health Care Quality Measures Needed as Cost-Cutting Strategies Grow http://www.rand.org/pubs/technical_reports/TR841.html Feb 22, 2011 Feb 22, 2011 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. Investment in New Health Care Quality Measures Needed as Cost-Cutting Strategies Grow http://www.rand.org/news/press/2011/02/22/index1.html Feb 22, 2011 Feb 22, 2011 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. Hospital Executives' Perspectives on Pay-for-Performance and Racial/Ethnic Disparities in Care http://www.rand.org/pubs/external_publications/EP201000101.html Sep 30, 2010 Sep 30, 2010 <p>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.</p> Using the Lessons of Behavioral Economics to Design More Effective Pay-for-Performance Programs http://www.rand.org/pubs/external_publications/EP20100088.html Jun 30, 2010 Jun 30, 2010 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. Performance-Based Payments for Primary Care Providers May Worsen Disparities in Medical Care http://www.rand.org/news/press/2010/05/04.html May 4, 2010 May 4, 2010 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. Performance-Based Payments for Primary Care Providers May Worsen Disparities in Medical Care http://www.rand.org/pubs/external_publications/EP20100028.html May 3, 2010 May 3, 2010 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. Physician Compensation, Cost, and Quality http://www.rand.org/pubs/external_publications/EP20100117.html Dec 31, 2009 Dec 31, 2009 <p>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.</p> The Effect of Performance-Based Financial Incentives on Improving Patient Care Experiences: A Statewide Evaluation http://www.rand.org/pubs/external_publications/EP20091223.html Nov 30, 2009 Nov 30, 2009 <p>Pay-for-performance incentives improve physician-patient communication, care coordination, and interaction with office staff.</p> Reliability of Patient Responses in Pay for Performance Schemes: Analysis of National General Practitioner Patient Survey Data in England http://www.rand.org/pubs/external_publications/EP20091019.html Oct 23, 2009 Oct 23, 2009 <p>Assess the robustness of patient responses to a new national survey of patient experience as a basis for providing financial incentives to doctors.</p> Physician Pay for Performance http://www.rand.org/pubs/technical_reports/TR562z13.html Oct 12, 2009 Oct 12, 2009 This document explores how physician pay for performance (P4P) programs would affect health system performance along nine dimensions. Hospital Pay for Performance http://www.rand.org/pubs/technical_reports/TR562z12.html Oct 12, 2009 Oct 12, 2009 This document explores how hospital pay for performance (P4P) programs would affect health system performance along nine dimensions. Strategies Outlined to Test New Payment Models for Health Care http://www.rand.org/news/press/2009/09/29.html Sep 29, 2009 Sep 29, 2009 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. Strategies Outlined to Test New Payment Models for Health Care http://www.rand.org/pubs/external_publications/EP20090907.html Sep 28, 2009 Sep 28, 2009 <p>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.</p> The Reliability of Provider Profiling: A Tutorial http://www.rand.org/pubs/technical_reports/TR653.html Jul 2, 2009 Jul 2, 2009 <p>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.</p>