G2TT
来源类型Report
规范类型报告
来源IDRR-306-ASPE
Measuring Success in Health Care Value-Based Purchasing Programs: Findings from an Environmental Scan, Literature Review, and Expert Panel Discussions
Cheryl L. Damberg; Melony E. Sorbero; Susan L. Lovejoy; Grant R. Martsolf; Laura Raaen; Daniel Mandel
发表日期2014-03-04
出版年2014
页码240
语种英语
结论 Measuring Success in Health Care Value-Based Purchasing Programs: Findings from an Environmental Scan, Literature Review, and Expert Panel Discussions | RAND
摘要

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 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 based on a review of the published literature, a review of publicly available documentation from VBP programs, and discussions with an expert panel composed of VBP program sponsors, health care providers and health systems, and academic researchers with VBP evaluation expertise. Three types of VBP models were the focus of the review: (1) pay-for-performance programs, (2) accountable care organizations, and (3) bundled payment programs. The authors report on 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.

目录
  • Chapter One

    Introduction

  • Chapter Two

    Environmental Scan of Existing Value-Based Purchasing Programs

  • Chapter Three

    Review of the Pay-for-Performance Literature

  • Chapter Four

    Review of the Accountable Care Organization Literature

  • Chapter Five

    Review of the Bundled Payment Literature

  • Chapter Six

    Summary of Technical Expert Panel Discussion

  • Chapter Seven

    Conclusion

  • Appendix A

    Value-Based Purchasing Programs Included in Review of Public Documents

  • Appendix B

    Program Design and Context Variables

主题Health Care Accountable Care Organizations ; Health Care Quality Measurement ; Health Care Reform ; Value-Based Purchasing in Health Care
URLhttps://www.rand.org/pubs/research_reports/RR306.html
来源智库RAND Corporation (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/522426
推荐引用方式
GB/T 7714
Cheryl L. Damberg,Melony E. Sorbero,Susan L. Lovejoy,et al. Measuring Success in Health Care Value-Based Purchasing Programs: Findings from an Environmental Scan, Literature Review, and Expert Panel Discussions. 2014.
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