Health Affairs November 16, 2023
Value in health care can be defined as high quality of care at a reasonable price. The nearly two-decade quest to develop a health care value-based payment system has yet to produce substantial improvements in cost or quality. Striking a balance between cost and quality requires that two core issues be addressed:
- Determine the cost and quality measures that are used to judge performance.
- Design payment incentives that provide financial rewards and penalties based on cost and quality performance.
However, identifying effective cost and quality performance measures and integrating them into a payment system that creates incentives for producing real value has proven elusive.
In this article, the design and structure of the incentives for cost efficiency in...
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