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Can You Get What You Pay For? Pay-For-Performance and the Quality of Healthcare Providers / Kathleen J. Mullen, Richard G. Frank, Meredith B. Rosenthal.

NBER Working papers Available online

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Format:
Book
Author/Creator:
Mullen, Kathleen J.
Contributor:
National Bureau of Economic Research.
Frank, Richard G.
Rosenthal, Meredith B.
Series:
Working Paper Series (National Bureau of Economic Research) no. w14886.
NBER working paper series no. w14886
Language:
English
Physical Description:
1 online resource: illustrations (black and white);
Place of Publication:
Cambridge, Mass. National Bureau of Economic Research 2009.
Summary:
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. We use data from published performance reports of physician medical groups contracting with a large network HMO to compare clinical quality before and after the implementation of P4P, relative to a control group. We consider the effect of P4P on both rewarded and unrewarded dimensions of quality. In the end, we fail to find evidence that a large P4P initiative either resulted in major improvement in quality or notable disruption in care.
Notes:
Print version record
April 2009.

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