How Financial and Reputational Incentives Can Be Used to Improve Medical Care.

ABSTRACT:

Objectives

Narrative review of the impact of pay-for-performance (P4P) and public reporting (PR) on health care outcomes, including spillover effects and impact on disparities.

Principal findings

The impact of P4P and PR is dependent on the underlying payment system (fee-for-service, salary, capitation) into which these schemes are introduced. Both have the potential to improve care, but they can also have substantial unintended consequences. Evidence from the behavioral economics literature suggests that individual physicians will vary in how they respond to incentives. We also discuss issues to be considered when including patient-reported outcome measures (PROMs) or patient-reported experience measures into P4P and PR schemes.

Conclusion

We provide guidance to paye

SUBMITTER: Roland M 

PROVIDER: S-EPMC5338201 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature