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Design and effects of outcome-based payment models in healthcare: a systematic review.


ABSTRACT:

Introduction

Outcome-based payment models (OBPMs) might solve the shortcomings of fee-for-service or diagnostic-related group (DRG) models using financial incentives based on outcome indicators of the provided care. This review provides an analysis of the characteristics and effectiveness of OBPMs, to determine which models lead to favourable effects.

Methods

We first developed a definition for OBPMs. Next, we searched four data sources to identify the models: (1) scientific literature databases; (2) websites of relevant governmental and scientific agencies; (3) the reference lists of included articles; (4) experts in the field. We only selected studies that examined the impact of the payment model on quality and/or costs. A narrative evidence synthesis was used to link spec

SUBMITTER: Vlaanderen FP 

PROVIDER: S-EPMC6438941 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature