An Evaluation of Performance Thresholds in Nursing Home Pay-for-Performance.

ABSTRACT:

Objective

Performance thresholds are commonly used in pay-for-performance (P4P) incentives, where providers receive a bonus payment for achieving a prespecified target threshold but may produce discontinuous incentives, with providers just below the threshold having the strongest incentive to improve and providers either far below or above the threshold having little incentive. We investigate the effect of performance thresholds on provider response in the setting of nursing home P4P.

Data sources

The Minimum Data Set (MDS) and Online Survey, Certification, and Reporting (OSCAR) datasets.

Study setting and design

Difference-in-differences design to test for changes in nursing home performance in three states that implemented threshold-based P4P (Colorado, Georgia, and

SUBMITTER: Werner RM 

PROVIDER: S-EPMC5134156 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature