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Health Care Payment Approaches

Journal Article

Journal Article

Differential Item Functioning By Survey Language Among Older Hispanics Enrolled in Medicare Managed Care

Failure to account for language differences in CAHPS survey items may result in misleading conclusions about disparities in health care experiences between Spanish and English speakers.

Apr 30, 2011
Journal Article

Journal Article

The Impact of Patient Choice of Provider on Equity: Analysis of a Patient Survey

More educated, affluent patients were no more likely to be offered a choice than other population groups, but there does appear to be a social gradient in who chose to travel beyond the local area for treatment. If these results were replicated across England, there is at least the potential risk that when local hospitals are failing, patient choice could result in inequitable access to high quality care, rather than enhancing equity as the policy's architects had hoped.

Mar 31, 2011
Report

Paying for Quality in the German Healthcare System

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.

Mar 22, 2011
News Release

News Release

Investment in New Health Care Quality Measures Needed as Cost-Cutting Strategies Grow

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.

Feb 22, 2011
Report

Investment in New Health Care Quality Measures Needed as Cost-Cutting Strategies Grow

Health care spending reforms should be met with new efforts to develop and refine quality of care and other performance measures in order to assure that any changes will improve medical care and not harm patients.

Feb 22, 2011
Journal Article

Journal Article

Depression and the Health Care Experiences of Medicare Beneficiaries

Depressed patients report poorer health care experiences and have less confidence that they can recognize their need for care.

Dec 31, 2010
Journal Article

Journal Article

Hospital Executives' Perspectives on Pay-for-Performance and Racial/Ethnic Disparities in Care

Hospitals executives hesitant about using pay-for-performance programs to reduce racial/ethnic disparities in care.

Sep 30, 2010
Journal Article

Journal Article

Where Americans Get Acute Care: Increasingly, It's Not at Their Doctor's Office

Only 42 percent of the 354 million annual visits in the U.S. for acute care—treatment for newly arising health problems—are made to patients' personal physicians. The rest are made to emergency departments (28 percent), specialists (20 percent), or outpatient departments (7 percent).

Aug 31, 2010
Commentary

Commentary

Physician Compensation, Cost, and Quality

Pay for performance, transparency, and other innovative ways of compensating physicians will work only if, at the same time, the system for providing care is changed to one that has clear objectives and provides specific tools to help physicians achieve those objectives, writes Robert H. Brook.

Aug 18, 2010
Research Brief

Are Performance-Based Accountability Systems Effective? Evidence from Five Sectors

Creating an effective Performance-Based Accountability System (PBAS) requires careful attention to selecting an appropriate design for the PBAS, given the context in which it is to operate, and to monitor, evaluate, and adjust the system, as appropriate.

Jul 28, 2010
Report

Performance-Based Accountability Systems for Public Services

Evidence supports continued experimentation with and adoption of performance-based accountability systems (PBAS) in various sectors: child care, education, health care, public health emergency preparedness, and transportation. However, PBAS design and its prospects for success depend on the context in which it will operate.

Jul 21, 2010
Report

Analyzing the Operation of Performance-Based Accountability Systems for Public Services

Empirical evidence of the effects of performance-based public management is scarce. But a framework for organizing the empirical information we do have could identify individuals or organizations that must change to improve performance, select an effective incentive structure, and choose performance measures that inform the incentive structure appropriately.

Jul 14, 2010
Journal Article

Journal Article

Using the Lessons of Behavioral Economics to Design More Effective Pay-for-Performance Programs

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.

Jun 30, 2010
News Release

News Release

Performance-Based Payments for Primary Care Providers May Worsen Disparities in Medical Care

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.

May 4, 2010
Journal Article

Journal Article

Performance-Based Payments for Primary Care Providers May Worsen Disparities in Medical Care

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.

Apr 30, 2010
Report

Report

Increase the Use of "Bundled" Payment Approaches

This document explores how increased use of bundled payment approaches would affect health system performance along nine dimensions.

Jan 8, 2010
Journal Article

Journal Article

Can You Get What You Pay For? Pay-for-Performance and the Quality of Healthcare Providers

One-liner abstract (description): Despite the popularity of pay-for-performance (P4P) among health policymakers and private insurers as a tool for improving quality of care, there is little empirical basis for its effectiveness.

Jan 1, 2010
Journal Article

Journal Article

Risk-adjusted Capitation Rates for Children: How Useful Are the Survey-Based Measures?

National health surveys can provide information, including measures of special health care needs, that can improve risk-adjustment models and help provide appropriate payments to managed-care plans serving vulnerable children.

Dec 31, 2009
Journal Article

Journal Article

Usual Care Psychotherapy for Depression in a Large Managed Behavioral Health Organization

Many depressed patients are receiving recommended psychotherapy but better tools are needed to monitor and improve the quality of usual psychotherapeutic care.

Dec 31, 2009
Journal Article

Journal Article

Physician Compensation, Cost, and Quality

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.

Dec 31, 2009

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