ISBN:
9780833083951
,
0833085514
,
0833083953
,
9780833085511
Language:
English
Pages:
1 Online-Ressource (xi, 54 pages)
Series Statement:
Research report RR-308/1-ASPE
Parallel Title:
Print version Damberg, Cheryl Measuring success in health care value-based purchasing programs
Keywords:
Health care reform
;
Medicare
;
Health services administration
;
Purchasing Management
;
Medical care Purchasing
;
Government purchasing
;
Health care reform
;
Medicare
;
Health services administration
;
Purchasing
;
Medical care
;
Government purchasing
;
Health Services Administration
;
Value-Based Purchasing
;
Delivery of Health Care
;
Health Care Reform
;
Medicare
;
Government purchasing
;
Health care reform
;
Health services administration
;
Medicare
;
Purchasing ; Management
;
United States
;
United States
Abstract:
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
Abstract:
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
Note:
"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
,
"RAND Corporation research report series."--Web page (PDF)
,
"RR-306/1-ASPE."--Page 4 of printed paper wrapper
,
Includes bibliographical references (pages 45-54)
URL:
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