History bias, study design, and the unfulfilled promise of pay-for- performance policies in health care

Preventing Chronic Disease

Volumn 13, Issue 6, 2016, Pages

  Naci, Huseyin ^b   Soumerai, Stephen B ^a  

^a HARVARD MEDICAL SCHOOL   (United States)

^b LONDON SCHOOL OF ECONOMICS   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADMINISTRATIVE PERSONNEL; HEALTH CARE QUALITY; HUMAN; LEGISLATION AND JURISPRUDENCE; METHODOLOGY; REIMBURSEMENT; STANDARDS; STATISTICAL BIAS;

ADMINISTRATIVE PERSONNEL; BIAS (EPIDEMIOLOGY); HUMANS; QUALITY ASSURANCE, HEALTH CARE; REIMBURSEMENT, INCENTIVE; RESEARCH DESIGN;

EID: 84976905741     PISSN: 15451151     EISSN: 21665435     Source Type: Journal    
DOI: 10.5888/pcd13.160133     Document Type: Editorial

References (32)

1. Majumdar SR, Soumerai SB. The unhealthy state of health policy research. Health Aff(Millwood) 2009;28(5):w900-8.
2. Prasad V, Vandross A, Toomey C, Cheung M, Rho J, Quinn S, et al. A decade of reversal: an analysis of 146 contradicted medical practices. Mayo Clin Proc 2013;88(8):790-8.
3. National Institutes of Health. Enhancing reproducibility through rigor and transparency; 2015. http://grants.nih.gov/grants/guide/notice-files/NOT-OD-15-103.html. Accessed January 20, 2016.
4. Soumerai SB, Koppel R. Accountable care organizations: did they reduce medical costs in one year? The Incidental Economist; 2015 May 5 [blog]. http://theincidentaleconomist.com/wordpress/accountable-careorganizations-did-they-reduce-medical-costs-in-one-year/. Accessed April 14, 2016.
5. Nyweide DJ, Lee W, Cuerdon TT, Pham HH, Cox M, Rajkumar R, et al. Association of Pioneer Accountable Care Organizations vs traditional Medicare fee for service with spending, utilization, and patient experience. JAMA 2015; 313(21):2152-61.
6. McWilliams JM, Chernew ME, Landon BE, Schwartz AL. Performance differences in year 1 of pioneer accountable care organizations. N Engl J Med 2015;372(20):1927-36.
7. Koppel R, Soumerai SB. Not-so-useful findings. Flawed research on health care costs begets flawed health care policy. US News World Report 2015May 18; News, opinion & analysis: policy dose [blog]. http://www.usnews.com/opinion/blogs/policy-dose/2015/05/18/when-health-care-cost-studiesget-the-facts-wrong.
8. Soumerai SB, Starr D, Majumdar SR. How do you know which health care effectiveness research you can trust? A guide to study design for the perplexed. Prev Chronic Dis 2015; 12:150187.
9. 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.
10. Roland M, Dudley RA. How financial and reputational incentives can be used to improve medical care. Health Serv Res 2015;50(Suppl 2):2090-115.
11. Eijkenaar F. Pay for performance in health care: an international overview of initiatives. Med Care Res Rev 2012; 69(3):251-76.
12. Houle SK, McAlister FA, Jackevicius CA, Chuck AW, Tsuyuki RT. Does performance-based remuneration for individual health care practitioners affect patient care?: a systematic review. Ann Intern Med 2012;157(12):889-99.
13. Woolhandler S, Himmelstein DU. Collateral damage: pay-forperformance initiatives and safety-net hospitals. Ann Intern Med 2015;163(6):473-4.
14. Burwell SM. Setting value-based payment goals-HHS efforts to improve U.S. health care. N Engl J Med 2015; 372(10):897-9.
15. Chaix-Couturier C, Durand-Zaleski I, Jolly D, Durieux P. Effects of financial incentives on medical practice: results from a systematic review of the literature and methodological issues. Int J Qual Health Care 2000;12(2):133-42.
16. Lee TH. Eulogy for a quality measure. N Engl J Med 2007; 357(12):1175-7.
17. LaBresh KA, Ellrodt AG, Gliklich R, Liljestrand J, Peto R. Get with the guidelines for cardiovascular secondary prevention: pilot results. Arch Intern Med 2004;164(2):203-9.
18. Shadish WR, Cook TD, Cambell DT. Experimental and quasiexperimental designs for generalized casual inference. Belmont (CA): Wadsworth Cengage Learning; 2002.
19. Tahrani AA, McCarthy M, Godson J, Taylor S, Slater H, Capps N, et al. Diabetes care and the new GMS contract: the evidence for a whole county. Br J Gen Pract 2007; 57(539):483-5.
20. Tahrani AA, McCarthy M, Godson J, Taylor S, Slater H, Capps N, et al. Impact of practice size on delivery of diabetes care before and after the Quality and Outcomes Framework implementation. Br J Gen Pract 2008;58(553):576-9.
21. Campbell SM, Reeves D, Kontopantelis E, Sibbald B, Roland M. Effects of pay for performance on the quality of primary care in England. N Engl J Med 2009;361(4):368-78.
22. Serumaga B, Ross-Degnan D, Avery AJ, Elliott RA, Majumdar SR, Zhang F, et al. Effect of pay for performance on the management and outcomes of hypertension in the United Kingdom: interrupted time series study. BMJ 2011;342:d108.
23. Jha AK, Joynt KE, Orav EJ, Epstein AM. The long-term effect of premier pay for performance on patient outcomes. N Engl J Med 2012;366(17):1606-15.
24. Sutton M, Nikolova S, Boaden R, Lester H, McDonald R, Roland M. Reduced mortality with hospital pay for performance in England. N Engl J Med 2012;367(19):1821-8.
25. Kristensen SR, Meacock R, Turner AJ, Boaden R, McDonald R, Roland M, et al. Long-term effect of hospital pay for performance on mortality in England. N Engl J Med 2014; 371(6):540-8.
26. Asch DA, Troxel AB, Stewart WF, Sequist TD, Jones JB, Hirsch AG, et al. Effect of financial incentives to physicians, patients, or both on lipid levels: a randomized clinical trial. JAMA 2015;314(18):1926-35.
27. Scott A, Sivey P, Ait Ouakrim D, Willenberg L, Naccarella L, Furler J, et al. The effect of financial incentives on the quality of health care provided by primary care physicians. Cochrane Database Syst Rev 2011;(9):CD008451.
28. Eijkenaar F, Emmert M, Scheppach M, Schöffski O. Effects of pay for performance in health care: a systematic review of systematic reviews. Health Policy 2013;110(2-3):115-30.
29. Schatz M. Does pay-for-performance influence the quality of care? Curr Opin Allergy Clin Immunol 2008;8(3):213-21.
30. Soumerai SB, Starr D, Majumdar SR. How do you know which health care effectiveness research you can trust? a guide to study design for the perplexed. Prev Chronic Dis 2015; 12:E101.
31. Bevan G. Have targets done more harm than good in the English NHS? No. BMJ 2009;338:a3129.
32. Gilman M, Hockenberry JM, Adams EK, Milstein AS, Wilson IB, Becker ER. The financial effect of value-based purchasing and the hospital readmissions reduction program on safety-net hospitals in 2014: a cohort study. Ann Intern Med 2015; 163(6):427-36.