Abstract

http://ssrn.com/abstract=1381463
 
 

References (22)



 
 

Citations (9)



 


 



Can You Get What You Pay For? Pay-for-Performance and the Quality of Healthcare Providers


Kathleen J. Mullen


RAND Corporation

Richard G. Frank


Harvard Medical School; National Bureau of Economic Research (NBER)

Meredith B. Rosenthal


Harvard University - Harvard School of Public Health

April 14, 2009

RAND Working Paper Series No. WR- 680

Abstract:     
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. The authors 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. They consider the effect of P4P on both rewarded and unrewarded dimensions of quality. In the end, they fail to find evidence that a large P4P initiative either resulted in major improvement in quality or notable disruption in care.

Number of Pages in PDF File: 43

Keywords: pay-for-performance, healthcare, quality, multitasking

JEL Classification: D23, I12, H51

working papers series


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Date posted: April 16, 2009  

Suggested Citation

Mullen, Kathleen J. and Frank, Richard G. and Rosenthal, Meredith B., Can You Get What You Pay For? Pay-for-Performance and the Quality of Healthcare Providers (April 14, 2009). RAND Working Paper Series No. WR- 680. Available at SSRN: http://ssrn.com/abstract=1381463 or http://dx.doi.org/10.2139/ssrn.1381463

Contact Information

Kathleen J. Mullen (Contact Author)
RAND Corporation ( email )
1776 Main Street
P.O. Box 2138
Santa Monica, CA 90407-2138
United States
310-393-0411 x6265 (Phone)
310-260-8156 (Fax)
HOME PAGE: http://works.bepress.com/kathleen_mullen
Richard G. Frank
Harvard Medical School ( email )
Department of Health Care Policy
Boston, MA 02115
United States
617-432-0178 (Phone)
617-432-1219 (Fax)
National Bureau of Economic Research (NBER)
1050 Massachusetts Avenue
Cambridge, MA 02138
United States
Meredith B. Rosenthal
Harvard University - Harvard School of Public Health ( email )
677 Huntington Avenue
Boston, MA 02115
United States
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