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Measuring Success in Health Care Value-Based Purchasing Programs. Summary and recommendations.

Titre traduit
Mesure du succès des programmes d'achat de soins de santé basé sur la valeur. Résumé et recommandations. (fr)
Auteur
DAMBERG (C.L.); SORBERO (M.E.); LOVEJOY (S.L.); et al.
Collectivité auteur
Rand Corporation. Santa Monica. CA. USA
Source
collection Research Report ; RR-306. 2014/03, pages 66p., réf.bibl., .
Editeur
The Rand, Santa-Monica
Pays de publication
Etats-Unis
Type de document
RAPPORT (DOCUMENT INTERNET)
Langue
Anglais
Résumé
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.
Mots-clés BDSP
Qualité soins Rémunération Evaluation Performance Etats Unis Inégalité sociale Offre soins Coût Forfait Recommandation Revue de littérature
Mots-clés Pascal
Qualité Soin Rémunération Evaluation Performance Etats Unis Classe sociale Inégalité Offre Coût Recommandation
Mots-clés Pascal anglais
Quality Care Remuneration Evaluation Performance United States Social class Inequality Offer Costs Recommendation
Provenance :

IRDES - Institut de Recherche et Documentation en Economie de la Santé

Identifiant BDSP
480686
Création de la notice
2014-05-28
Dernière mise à jour
2014-05-28

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