No hospital left behind? Education policy lessons for value-based payment in healthcare.
J Hosp Med. 2015 Sep 28;
Authors: Maurer KA, Ryan AM
Value-based payment systems have been widely implemented in healthcare in an effort to improve the quality of care. However, these programs have not broadly improved quality, and some evidence suggests that they may increase inequities in care. No Child Left Behind is a parallel effort in education to address uneven achievement and inequalities. Yet, by penalizing the lowest performers, No Child Left Behind's approach to accountability has led to a number of unintended consequences. This article draws lessons from education policy, arguing that financial incentives should be designed to support the lowest performers to improve quality. Journal of Hospital Medicine 2015. © 2015 Society of Hospital Medicine.
PMID: 26415850 [PubMed - as supplied by publisher]