Download or read book Understanding the Intervention and Implementation Factors Associated with Benefits and Harms of Pay for Performance Programs in Healthcare written by Karli Kondo and published by . This book was released on 2015 with total page 153 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Over the last decade, pay for performance (P4P) programs have been implemented in a variety of health systems, including the VHA, as a means to improve the efficiency and quality of health care. There has been a parallel increase in the number of studies examining the effects of P4P. A number of recent reviews have summarized this literature, but have generally found insufficient evidence to broadly characterize the balance of harms and benefits. However, financial incentives programs are complex interventions whose effects may depend in part on the settings in which they are implemented, the methods used for implementation, the populations targeted, and the characteristics of the incentive programs themselves. The objectives of this report are to summarize the positive and negative effects of P4P on process and health outcomes, and to examine how implementation characteristics modify the effects of P4P programs"--Publisher's description.
Download or read book Pay for Performance in Health Care written by Jerry Cromwell and published by RTI Press. This book was released on 2011-02-28 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a balanced assessment of pay for performance (P4P), addressing both its promise and its shortcomings. P4P programs have become widespread in health care in just the past decade and have generated a great deal of enthusiasm in health policy circles and among legislators, despite limited evidence of their effectiveness. On a positive note, this movement has developed and tested many new types of health care payment systems and has stimulated much new thinking about how to improve quality of care and reduce the costs of health care. The current interest in P4P echoes earlier enthusiasms in health policy—such as those for capitation and managed care in the 1990s—that failed to live up to their early promise. The fate of P4P is not yet certain, but we can learn a number of lessons from experiences with P4P to date, and ways to improve the designs of P4P programs are becoming apparent. We anticipate that a “second generation” of P4P programs can now be developed that can have greater impact and be better integrated with other interventions to improve the quality of care and reduce costs.
Download or read book Intervention Effectiveness Research Quality Improvement and Program Evaluation in Healthcare written by Karen A. Monsen and published by Springer Nature. This book was released on with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving Healthcare Quality in Europe Characteristics Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Download or read book The Future of Nursing 2020 2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Download or read book Pay for Performance written by and published by Healthcare Intelligence Net. This book was released on 2005-01-01 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pay for Performance (P4P), the burgeoning movement in the healthcare industry to align financial incentives with improved results, is touted as a means of improving healthcare quality without increasing costs. Health plans are now devising metrics for tying millions of dollars in physician bonus incentives to healthcare quality outcomes. In this special report, "Pay for Performance: Raising the Bar on Quality, Efficiency and Results," based on two recent audio conferences, a panel of experts shared their experiences: healthcare consultants analyzed the results of national studies on the reach of P4P programs among U.S.-based health plans and sketched out a timeline for future developments, while three organizations described their ongoing efforts to build cohesive P4P programs. You''ll hear from Geoffrey B. Baker, President, Med-Vantage, Inc.; Dr. Nicholas Bonvicino, Senior Medical Director, Clinical Network Management, Horizon-Blue Cross Blue Shield of New Jersey; Paul Keckley, Executive Director, The Center for Evidence-Based Medicine at Vanderbilt University Medical Center; Dr. Milton Schwarz, Regional Medical Director, Aetna US Healthcare; and Mark Xistris, Director of Provider Relations & Health Information, The Alliance on theories, application and results of pay for performance programs. This report is based on the June 10, 2004 audio conference "Pay for Performance: Improving Clinical and Financial Outcomes" and the September 8, 2004 audio conference "Pay for Performance Measures: Lessons from the Early Adopters" during which Baker, Bonvicino, Keckley, Schwarz and Xistris described the P4P landscape today, the impact of evidence-based medicine on P4P, an employer coalition?s experience, how Horizon Blue Cross Blue Shield of New Jersey has revamped their quality improvement program and the fundamentals, metrics and payment details of the Aetna P4P program in California. You''ll get details on: -Trends in P4P; -Getting physician buy-in; -Components of a successful program; -Transitioning P4P programs to an open access environment; -Overcoming the common obstacles to P4P; -Steps in the process of building a performance-based reimbursement (PBR) program; and -What other purchasers are doing. Table of Contents National Update on Pay for Performance -2004 Survey Identifies Five Significant Trends -Ideal Program Scores High on Efficiency and Quality -Medicaid, Self-Insured Jump on P4P Bandwagon -2004 Survey: Participation by Provider Type -Early ROI Evident as Most Markets Enter Phase 2 -Scorecards Show Consumers Quality, Efficiency and Service Grades -Outside Factors Cloud ROI -Early Provider Involvement Boosts Success Rate -Top Ten P4P PitfallsThe Impact of Evidence-Based Medicine on P4P -Defining Evidence-Based Medicine -Common Misconceptions about EBM -Lags in Learning Times Decrease -The EBM Challenge: Timeliness -Media Sways Consumers? Interaction with Providers -The Role of Third Parties -Future of Plan Market Consolidation, Consumerism and Competition -Linking Pharmaceutical Costs and P4P -Health Plans and P4P -Emerging Focus of P4P ProgramsPerformance-Based Reimbursement: One Coalition?s Experience -Enlisting AHRQ Support for Research -Measuring the Measures -Relating Quality Improvements to Healthcare Costs -Re-admission, Infection Rates Under MicroscopeCrafting a P4P Program California-Style -Key Features of California Effort -Inclusion of Administrative Data Saves Costs, Forces IT Card -Data Collection Overview -Developing a Statistically Viable ScorecardIn Face of Provider Pushback, Horizon Rewards Performance and Efficiency -Program Goals -Quality Scorecards Provide Actionable Information -Catastrophic Detail Report (Horizon BCBS-NJ) -Per Member Per Month Performance of P4P -Evaluating Program Results -Level II Group Financial Results: 2002 PMPM Payout -Success Factors and Future Plans -Fostering Providers? Compliance with NIH GuidelinesQ&A: Ask the Experts -Suggestions for Measuring Small Populations -Current Efforts Just the Beginning -Using Financial Incentives to Modify Physician Behavior -Evaluating Risk Adjustment Software -Factoring Provider Interactions in Care Episodes -Weighing the Advantages of Tiered Networks -The Impact of Malpractice on P4P Programs -Formulating a Collaborative Approach to Chronic Disease -Determining Payout Frequency -Data Sources for Advanced Measurements -Measuring the Success of P4P in California -Applying ROI Methodology to P4P Programs -Finding a Champion to Back a P4P Effort -Linking Consumer-Directed Healthcare to P4P -Looking Ahead to P4P in 2005 -Motivating Physicians to Embrace IT -Replicating the Success of the California Endeavor
Download or read book Paying for Performance in Healthcare written by Cheryl Cashin and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health spending continues to grow faster than the economy in most OECD countries. In 2010, the OECD published a study of strategies to increase value for money in health care, in which pay for performance (P4P) was identified as an innovative tool to improve health system efficiency in several OECD countries. However, evidence that P4P increases value for money, boosts quality of processes in health care, or improves health outcomes is limited.This book explores the many questions surrounding P4P such as whether the potential power of P4P has been over-sold, or whether the disappointing results to date are more likely rooted in problems of design and implementation or inadequate monitoring and evaluation. The book also examines the supporting systems and process, in addition to incentives, that are necessary for P4P to improve provider performance and to drive and sustain improvement. The book utilises a substantial set of case studies from 12 OECD countries to shed light on P4P programs in practice.Featuring both high and middle income countries, cases from primary and acute care settings, and a range of both national and pilot programmes, each case study features: Analysis of the design and implementationdecisions, including the role of stakeholders Critical assessment of objectives versus results Examination of the of 'net' impacts, includingpositive spillover effects and unintended consequences The detailed analysis of these 12 case studies together with the rest of this critical text highlight the realities of P4P programs and their potential impact on the performance of health systems in a diversity of settings. As a result, this book provides critical insights into the experience to date with P4P and how this tool may be better leveraged to improve health system performance and accountability. This title is in the European Observatory on Health Systems and Policies Series.
Download or read book Pay for Performance written by Healthcare Intelligence Network and published by . This book was released on 2005-02 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pay for Performance (P4P), the burgeoning movement in the healthcare industry to align financial incentives with improved results, is touted as a means of improving healthcare quality without increasing costs. Health plans are now devising metrics for tying millions of dollars in physician bonus incentives to healthcare quality outcomes. In this special report, "Pay for Performance: Raising the Bar on Quality, Efficiency and Results," based on two recent audio conferences, a panel of experts shared their experiences: healthcare consultants analyzed the results of national studies on the reach of P4P programs among U.S.-based health plans and sketched out a timeline for future developments, while three organizations described their ongoing efforts to build cohesive P4P programs. You''ll hear from Geoffrey B. Baker, President, Med-Vantage, Inc.; Dr. Nicholas Bonvicino, Senior Medical Director, Clinical Network Management, Horizon-Blue Cross Blue Shield of New Jersey; Paul Keckley, Executive Director, The Center for Evidence-Based Medicine at Vanderbilt University Medical Center; Dr. Milton Schwarz, Regional Medical Director, Aetna US Healthcare; and Mark Xistris, Director of Provider Relations & Health Information, The Alliance on theories, application and results of pay for performance programs. This report is based on the June 10, 2004 audio conference "Pay for Performance: Improving Clinical and Financial Outcomes" and the September 8, 2004 audio conference "Pay for Performance Measures: Lessons from the Early Adopters" during which Baker, Bonvicino, Keckley, Schwarz and Xistris described the P4P landscape today, the impact of evidence-based medicine on P4P, an employer coalitions experience, how Horizon Blue Cross Blue Shield of New Jersey has revamped their quality improvement program and the fundamentals, metrics and payment details of the Aetna P4P program in California. You''ll get details on: -Trends in P4P; -Getting physician buy-in; -Components of a successful program; -Transitioning P4P programs to an open access environment; -Overcoming the common obstacles to P4P; -Steps in the process of building a performance-based reimbursement (PBR) program; and -What other purchasers are doing. Table of Contents National Update on Pay for Performance -2004 Survey Identifies Five Significant Trends -Ideal Program Scores High on Efficiency and Quality -Medicaid, Self-Insured Jump on P4P Bandwagon -2004 Survey: Participation by Provider Type -Early ROI Evident as Most Markets Enter Phase 2 -Scorecards Show Consumers Quality, Efficiency and Service Grades -Outside Factors Cloud ROI -Early Provider Involvement Boosts Success Rate -Top Ten P4P PitfallsThe Impact of Evidence-Based Medicine on P4P -Defining Evidence-Based Medicine -Common Misconceptions about EBM -Lags in Learning Times Decrease -The EBM Challenge: Timeliness -Media Sways Consumers Interaction with Providers -The Role of Third Parties -Future of Plan Market Consolidation, Consumerism and Competition -Linking Pharmaceutical Costs and P4P -Health Plans and P4P -Emerging Focus of P4P ProgramsPerformance-Based Reimbursement: One Coalitions Experience -Enlisting AHRQ Support for Research -Measuring the Measures -Relating Quality Improvements to Healthcare Costs -Re-admission, Infection Rates Under MicroscopeCrafting a P4P Program California-Style -Key Features of California Effort -Inclusion of Administrative Data Saves Costs, Forces IT Card -Data Collection Overview -Developing a Statistically Viable ScorecardIn Face of Provider Pushback, Horizon Rewards Performance and Efficiency -Program Goals -Quality Scorecards Provide Actionable Information -Catastrophic Detail Report (Horizon BCBS-NJ) -Per Member Per Month Performance of P4P -Evaluating Program Results -Level II Group Financial Results: 2002 PMPM Payout -Success Factors and Future Plans -Fostering Providers Compliance with NIH GuidelinesQ&A: Ask the Experts -Suggestions for Measuring Small Populations -Current Efforts Just the Beginning -Using Financial Incentives to Modify Physician Behavior -Evaluating Risk Adjustment Software -Factoring Provider Interactions in Care Episodes -Weighing the Advantages of Tiered Networks -The Impact of Malpractice on P4P Programs -Formulating a Collaborative Approach to Chronic Disease -Determining Payout Frequency -Data Sources for Advanced Measurements -Measuring the Success of P4P in California -Applying ROI Methodology to P4P Programs -Finding a Champion to Back a P4P Effort -Linking Consumer-Directed Healthcare to P4P -Looking Ahead to P4P in 2005 -Motivating Physicians to Embrace IT -Replicating the Success of the California Endeavor
Download or read book Pay for performance in Health Care written by Jim Hahn and published by . This book was released on 2006 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Physician Pay for Performance written by Cheryl Damberg and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The RAND Corporation's COMPARE initiative provides information and tools to help policymakers, the media, and others understand, design, and evaluate health care policies. The COMPARE Web site presents a range of policy options that allows the user to explore the effects of commonly proposed health care reforms. This document explores how physician pay for performance (P4P) programs would affect health system performance along nine dimensions. How physician P4P programs would affect health care spending depends strongly on program design. Effects on the reliability with which appropriate care is provided, patient experience, and health are uncertain. P4P programs are not relevant to consumer financial risk, coverage, and capacity. Broad implementation of physician P4P is technically feasible but would require substantial investments in infrastructure and resources to support implementation and ongoing operations. Implementation would be especially challenging in small physician practices, which lack dedicated staff to help with implementation and adherence.
Download or read book Health Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Download or read book Pay for Performance in Health Care written by and published by . This book was released on 2006 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, many health care industry leaders and policy makers have joined the call to pay health care providers different amounts based on variation in the quality of their services as determined through their achievement on quality performance measures. Proponents of these pay-for-performance systems in health care assert that such programs could help improve the quality of care while also helping to control the rate of growth in health care costs. Pay-for-performance systems have been implemented for some managed care plans that cover Medicaid beneficiaries, and proposals for establishing pay-for-performance systems for Medicare services continue to come before Congress. A pay-for-performance system is a remuneration arrangement in which a portion of the payments is based on performance assessed against a defined measure. Typically, there is another component of the remuneration that is independent of the amount at risk. While most of the current discussions about pay-for-performance in the health care industry address quality-based measures, performance objectives and metrics could target any of a number of variables, including profitability, volume, or customer or patient satisfaction. The elements common to all pay-for-performance programs are (1) a set of targets or objectives that define what will be evaluated, (2) measures and performance standards for establishing the target criteria, and (3) rewards -- typically financial incentives -- that are at risk, including the amount and the method for allocating the payments among those who meet or exceed the reward threshold. For the pay-for-performance program to be successful, there needs to be agreement and buy-in among those being evaluated that the objectives are fair and the measures appropriate, that performance is accurately measured, and that the incentives make the effort worthwhile. Possible shortcomings and unintended consequences of a pay-for-performance program include having inappropriate measures and objectives, competing or uncoordinated efforts, insufficient or inappropriate incentives, and placing excessive focus on the reward. There are few rigorous objective evaluations of the effect of pay-for-performance programs. Initial studies suggest that pay-for-performance programs can change performance on quality measures that are used for the basis of bonus payments, but claims that pay-for-performance programs are cost-saving in the long run are largely unsubstantiated. In recent years, Congress has considered legislation that would implement payfor-performance in health care. Most of the efforts have centered on the Medicare program, although Medicaid and private insurers have also garnered some attention. A number of pay-for-performance demonstration projects have been authorized, and Congress issued a directive to the Secretary of Health and Human Services to develop a value-based purchasing program for hospital payment by 2009. More bills proposing the establishment of pay-for-performance programs in public programs such as Medicare are likely come before Congress. This report will be updated as needed.
Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Download or read book Implementation Research in Health written by David H. Peters and published by World Health Organization. This book was released on 2013 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: Interest in implementation research is growing, largely in recognition of the contribution it can make to maximizing the beneficial impact of health interventions. As a relatively new and, until recently, rather neglected field within the health sector, implementation research is something of an unknown quantity for many. There is therefore a need for greater clarity about what exactly implementation research is, and what it can offer. This Guide is designed to provide that clarity. Intended to support those conducting implementation research, those with responsibility for implementing programs, and those who have an interest in both, the Guide provides an introduction to basic implementation research concepts and language, briefly outlines what it involves, and describes the many opportunities that it presents. The main aim of the Guide is to boost implementation research capacity as well as demand for implementation research that is aligned with need, and that is of particular relevance to health systems in low- and middle-income countries (LMICs). Research on implementation requires the engagement of diverse stakeholders and multiple disciplines in order to address the complex implementation challenges they face. For this reason, the Guide is intended for a variety of actors who contribute to and/or are impacted by implementation research. This includes the decision-makers responsible for designing policies and managing programs whose decisions shape implementation and scale-up processes, as well as the practitioners and front-line workers who ultimately implement these decisions along with researchers from different disciplines who bring expertise in systematically collecting and analyzing information to inform implementation questions. The opening chapters (1-4) make the case for why implementation research is important to decision-making. They offer a workable definition of implementation research and illustrate the relevance of research to problems that are often considered to be simply administrative and provide examples of how such problems can be framed as implementation research questions. The early chapters also deal with the conduct of implementation research, emphasizing the importance of collaboration and discussing the role of implementers in the planning and designing of studies, the collection and analysis of data, as well as in the dissemination and use of results. The second half of the Guide (5-7) detail the various methods and study designs that can be used to carry out implementation research, and, using examples, illustrates the application of quantitative, qualitative, and mixed-method designs to answer complex questions related to implementation and scale-up. It offers guidance on conceptualizing an implementation research study from the identification of the problem, development of research questions, identification of implementation outcomes and variables, as well as the selection of the study design and methods while also addressing important questions of rigor.
Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
Download or read book Impact Evaluation in Practice Second Edition written by Paul J. Gertler and published by World Bank Publications. This book was released on 2016-09-12 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of the Impact Evaluation in Practice handbook is a comprehensive and accessible introduction to impact evaluation for policy makers and development practitioners. First published in 2011, it has been used widely across the development and academic communities. The book incorporates real-world examples to present practical guidelines for designing and implementing impact evaluations. Readers will gain an understanding of impact evaluations and the best ways to use them to design evidence-based policies and programs. The updated version covers the newest techniques for evaluating programs and includes state-of-the-art implementation advice, as well as an expanded set of examples and case studies that draw on recent development challenges. It also includes new material on research ethics and partnerships to conduct impact evaluation. The handbook is divided into four sections: Part One discusses what to evaluate and why; Part Two presents the main impact evaluation methods; Part Three addresses how to manage impact evaluations; Part Four reviews impact evaluation sampling and data collection. Case studies illustrate different applications of impact evaluations. The book links to complementary instructional material available online, including an applied case as well as questions and answers. The updated second edition will be a valuable resource for the international development community, universities, and policy makers looking to build better evidence around what works in development.
Download or read book Rewarding Provider Performance written by Institute of Medicine and published by National Academies Press. This book was released on 2007-02-17 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series effectively evaluates specific policy approaches within the context of improving the current operational framework of the health care system. The theme of this particular book is the staged introduction of pay for performance into Medicare. Pay for performance is a strategy that financially rewards health care providers for delivering high-quality care. Building on the findings and recommendations described in the two companion editions, Performance Measurement and Medicare's Quality Improvement Organization Program, this book offers options for implementing payment incentives to provide better value for America's health care investments. This book features conclusions and recommendations that will be useful to all stakeholders concerned with improving the quality and performance of the nation's health care system in both the public and private sectors.
