Making the Best of Hospital Pay for Performance.
N Engl J Med. 2012 Apr 18;
Authors: Ryan A, Blustein J
Abstract
Over the past decade, "pay for performance" in health care has evolved from concept to policy with remarkable speed. In October 2012, U.S. acute care hospitals will begin to be paid for performance under the Medicare Hospital Value-Based Purchasing (VBP) program.(1) Accumulating evidence, however, raises serious doubts about whether the program will improve value in health care. How did we get to this point, and what can be done to redirect the policy as VBP is rolled out nationally? Pay for performance is grounded in an economic truism: money changes behavior. In the early days of pay for performance, this . . .
PMID: 22512453 [PubMed - as supplied by publisher]