Why pay for performance may be incompatible with quality improvement

BMJ (Online)

Volumn 345, Issue 7870, 2012, Pages

  Woolhandler, Steffie ^a   Ariely, Dan ^b   Himmelstein, David U ^a  

^a CITY UNIVERSITY OF NEW YORK   (United States)

^b DUKE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EDITORIAL; FINANCIAL MANAGEMENT; FUNDING; HEALTH CARE COST; HEALTH CARE QUALITY; HOSPITAL READMISSION; HUMAN; JOB PERFORMANCE; MEDICAL AUDIT; MEDICAL PRACTICE; MEDICARE; MORTALITY; MOTIVATION; PERSONNEL MANAGEMENT; PRIORITY JOURNAL; REWARD; RISK ASSESSMENT; TREATMENT OUTCOME; CHECKLIST; ECONOMICS; NOTE; REIMBURSEMENT;

CHECKLIST; MOTIVATION; PHYSICIAN INCENTIVE PLANS; REIMBURSEMENT, INCENTIVE;

EID: 84865252562     PISSN: None     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.e5015     Document Type: Editorial

References (12)

1. Glasziou PP, Buchan H, Del Mar C, Doust J, Harris M, Knight R, et al. When financial incentives do more good than harm: a checklist. BMJ 2012;345: e5047.
2. Shahian DM, Wolf RE, Iezzoni LI, Kirle L, Normand S-LT. Variability in the measurement of hospital-wide mortality rates. N Engl J Med 2010;363:2530-9.
3. Song Y, Skinner J, Bynum J, Sutherland J, Wennberg JE, Fisher ES. Regional variations in diagnostic practices. N Engl J Med 2010;363:45-53.
4. Welch HG, Sharp SM, Gottlieb DJ, Skinner JS, Wennberg JE. Geographic variation in diagnosis frequency and risk of death among Medicare beneficiaries. JAMA 2011;305:1113-8.
5. Administrative Consultant Services. Reporting secondary diagnoses that impact MS-DRG payment. MS-DRG News 2011. www.acsteam.net/sites/acs/uploads/ documents/newsletters/Secondary-2011.pdf.
6. Brown J, Duggan M, Kuziemko I, Wollston W. How does risk selection respond to risk adjustment? Evidence from the Medicare Advantage program. NBER Working Paper 16977. National Bureau of Economic Research, 2011.
7. Silverman E, Skinner J. Medicare upcoding and hospital ownership. J Health Econ 2004;23:369-89.
8. Anonymous. Maryland hospital accused of inflating treatment claims. Mod Healthcare 2011;41:4.
9. Van Walraven C, Jennings A, Taljaard M, Dhalla I, English S, Mulpuru S, et al. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. CMAJ 2011;183:E1067-72.
10. Kanwar M, Brar N, Khatib R, Fakih MG. Misdiagnosis of community acquired pneumonia and inappropriate utilization of antibiotics: side effects of the 4-h antibiotic administration rule. Chest 2007;131:1865-9.
11. Hong CS, Atlas SJ, Chang Y, Subramanian SV, Ashburner JM, Barry MJ, et al. Relationship between patient panel characteristics and primary care physician clinical performance rankings. JAMA 2010;304:1107-13.
12. Doran T, Fullwood C, Gravell H, Reeves D, Kontopantelis E, Hiroeh U, et al. Pay-for-performance programs in family practices in the United Kingdom. N Engl J Med 2006;355:375-84.