Health Affairs, 25, no. 1 (2006): 148-162 doi: 10.1377/hlthaff.25.1.148 © 2006 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

This Article Figures Only Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (7) Citing Articles via Google Scholar Google Scholar Articles by Kahn, C. N. Articles by Van Gelder, S. Search for Related Content PubMed Articles by Kahn, C. N., III Articles by Van Gelder, S. Related Collections Business Of Health Consumer Issues Evidence-Based Medicine Hospitals Medicare Quality Of Care Health Spending

Quality

Snapshot Of Hospital Quality Reporting And Pay-For-Performance Under Medicare

This paper examines the impact that Medicare pay-for-performance (P4P) might have upon hospital payment. It uses the initial two quarters of a national quality database to model financial gains or losses using the Premier Hospital Quality Incentive Demonstration rules, as well as the P4P approach recommended by the Medicare Payment Advisory Commission (MedPAC). Findings reveal variation among all types of hospitals and across all measures within each of the three conditions studied: heart attack, heart failure, and pneumonia. Initially, hospitals’ financial gains and losses likely will be marginal using the Premier demonstration payment rules and somewhat larger under the MedPAC recommendations as modeled.

                      What's this?

This article has been cited by other articles:

				J. B. Dimick and G. R. Upchurch Jr Measuring and Improving the Quality of Care for Abdominal Aortic Aneurysm Surgery Circulation, May 13, 2008; 117(19): 2534 - 2541. [Full Text] [PDF]

				A. K. Jha, E. J. Orav, J. Zheng, and A. M. Epstein The Characteristics And Performance Of Hospitals That Care For Elderly Hispanic Americans Health Aff., March 1, 2008; 27(2): 528 - 537. [Abstract] [Full Text] [PDF]

				J. C. Mitchiner and S. L. Hutto The Effect of Selected Hospital Characteristics on the Timeliness of Antibiotic Administration for Pneumonia American Journal of Medical Quality, August 1, 2007; 22(4): 259 - 264. [Abstract] [PDF]

				A. K. Jha, E. J. Orav, Z. Li, and A. M. Epstein The Inverse Relationship Between Mortality Rates And Performance In The Hospital Quality Alliance Measures Health Aff., July 1, 2007; 26(4): 1104 - 1110. [Abstract] [Full Text] [PDF]

				A. K. Jha, E. J. Orav, Z. Li, and A. M. Epstein Concentration and Quality of Hospitals That Care for Elderly Black Patients Arch Intern Med, June 11, 2007; 167(11): 1177 - 1182. [Abstract] [Full Text] [PDF]