Measuring success in health care value-based purchasing programs : summary and recommendations / Cheryl L. Damberg [et al.]

Format:

Book

Government document

Author/Creator:

Damberg, Cheryl, author.

Sorbero, Melony E., author.

Lovejoy, Susan L., author.

Martsolf, Grant, author.

Raaen, Laura, author.

Mandel, Daniel, author.

Contributor:

Rand Corporation, issuing body.

RAND Health, issuing body.

Series:

Research report (Rand Corporation)

Language:

English

Subjects (All):

Medical care--Purchasing--United States.

Medical care.

Government purchasing--United States.

Government purchasing.

Health services administration--United States.

Health services administration.

Health care reform--United States.

Health care reform.

Medicare.

Purchasing--Management.

Purchasing.

Physical Description:

1 online resource (xi, 54 pages) : illustrations

Place of Publication:

Santa Monica, CA : RAND Corporation, 2014.

Summary:

Value-based purchasing (VBP) refers to a broad set of performance-based payment strategies that link financial incentives to health care providers' performance on a set of defined measures in an effort to achieve better value. The U.S. Department of Health and Human Services (HHS) is advancing the implementation of VBP across an array of health care settings in the Medicare program in response to requirements in the 2010 Patient Protection and Affordable Care Act, and policymakers are grappling with many decisions about how best to design and implement VBP programs so that they are successful in achieving stated goals. This report summarizes the current state of knowledge about VBP programs, focusing on pay-for-performance programs, accountable care organizations, and bundled payment programs. The authors discuss VBP program goals and what constitutes success; the evidence on the impact of these programs; factors that characterize high- and low-performing providers in VBP programs; the measures, incentive structures, and benchmarks used by VBP programs; evidence on spillover effects and unintended consequences; and gaps in the knowledge base. The report concludes with a set of recommendations for the design, implementation, and monitoring and evaluation of VBP programs and a discussion of HHS's efforts in this regard.

Contents:

Introduction Study Purpose and Methods Summary of Findings Recommendations for Value-Based Purchasing Programs Conclusion Appendix: Program Design and Context Variables

Notes:

"Sponsored by the Office of the Assistant Secretary for Planning and Evaluation in the U.S. Department of Health and Human Services."--Title page verso

"RAND Health."