Changes in hospital quality associated with hospital value-based purchasing

New England Journal of Medicine

Volumn 376, Issue 24, 2017, Pages 2358-2366

  Ryan, Andrew M ^a   Krinsky, Sam ^a   Maurer, Kristin A ^a   Dimick, Justin B ^a  

^a UNIVERSITY OF MICHIGAN   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONTROLLED STUDY; DISEASE ASSOCIATION; EMERGENCY CARE; HEALTH CARE QUALITY; HEART FAILURE; HEART INFARCTION; HOSPITAL ADMISSION; HOSPITAL PURCHASING; HOSPITAL VALUE BASED PURCHASING PROGRAM; HUMAN; MORTALITY RATE; PATIENT SATISFACTION; PERSONAL EXPERIENCE; PNEUMONIA; PRIORITY JOURNAL; ECONOMICS; HOSPITAL; HOSPITALIZATION; MEDICAID; MEDICARE; PURCHASING; REIMBURSEMENT; STANDARDS; TOTAL QUALITY MANAGEMENT; UNITED STATES;

HOSPITALIZATION; HOSPITALS; HUMANS; MEDICAID; MEDICARE; PATIENT SATISFACTION; QUALITY IMPROVEMENT; QUALITY INDICATORS, HEALTH CARE; REIMBURSEMENT MECHANISMS; UNITED STATES; VALUE-BASED PURCHASING;

EID: 85020544228     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJMsa1613412     Document Type: Article

References (30)

1. Yasaitis L, Fisher ES, Skinner JS, Chandra A. Hospital quality and intensity of spending: is there an association? Health Aff (Millwood) 2009; 28: w566-w572.
2. Jha AK, Orav EJ, Dobson A, Book RA, Epstein AM. Measuring efficiency: The association of hospital costs and quality of care. Health Aff (Millwood) 2009; 28: 897-906.
3. Hussey PS, Wertheimer S, Mehrotra A. The association between health care quality and cost: A systematic review. Ann Intern Med 2013; 158: 27-34.
4. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 1: The content, quality, and accessibility of care. Ann Intern Med 2003; 138: 273-87.
5. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care. Ann Intern Med 2003; 138: 288-98.
6. Jha AK, Li Z, Orav EJ, Epstein AM. Care in U.S. hospitals-the Hospital Quality Alliance program. N Engl J Med 2005; 353: 265-74.
7. Rosenthal MB, Fernandopulle R, Song HR, Landon B. Paying for quality: providers' incentives for quality improvement. Health Aff (Millwood) 2004; 23: 127-41.
8. Ryan AM, Damberg CL. What can the past of pay-for-performance tell us about the future of Value-Based Purchasing in Medicare? Healthc (Amst) 2013; 1: 42-9.
9. Ryan AM, Nallamothu BK, Dimick JB. Medicare's public reporting initiative on hospital quality had modest or no impact on mortality from three key conditions. Health Aff (Millwood) 2012; 31: 585-92.
10. Grossbart SR. What's the return? Assessing the effect of "pay-for-performance" initiatives on the quality of care delivery. Med Care Res Rev 2006; 63: Suppl: 29S-48S.
11. Lindenauer PK, Remus D, Roman S, et al. Public reporting and pay for performance in hospital quality improvement. N Engl J Med 2007; 356: 486-96.
12. Ryan AM, Blustein J, Casalino LP. Medicare's flagship test of pay-for-performance did not spur more rapid quality improvement among low-performing hospitals. Health Aff (Millwood) 2012; 31: 797-805.
13. Ryan AM. Effects of the Premier Hospital Quality Incentive Demonstration on Medicare patient mortality and cost. Health Serv Res 2009; 44: 821-42.
14. 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: 1606-15.
15. Ryan AM, Burgess JF Jr, Pesko MF, Borden WB, Dimick JB. The early effects of Medicare's mandatory hospital pay-forperformance program. Health Serv Res 2015; 50: 81-97.
16. Figueroa JF, Tsugawa Y, Zheng J, Orav EJ, Jha AK. Association between the Value-Based Purchasing pay for performance program and patient mortality in US hospitals: observational study. BMJ 2016; 353: i2214.
17. Calikoglu S, Murray R, Feeney D. Hospital pay-for-performance programs in Maryland produced strong results, including reduced hospital-acquired conditions. Health Aff (Millwood) 2012; 31: 2649-58.
18. Krumholz HM, Wang Y, Mattera JA, et al. An administrative claims model suitable for profiling hospital performance based on 30-day mortality rates among patients with an acute myocardial infarction. Circulation 2006; 113: 1683-92.
19. Data and program reports. Baltimore: Centers for Medicare and Medicaid Services, 2016 (https://www .cms .gov/regulations-and-guidance/legislation/ehrincentive programs/dataandreports .html).
20. Colla CH, Lewis VA, Tierney E, Muhlestein DB. Hospitals participating in ACOs tend to be large and urban, allowing access to capital and data. Health Aff (Millwood) 2016; 35: 431-9.
21. Caliendo M, Kopeinig S. Some practical guidance for the implementation of propensity score matching. J Econ Surv 2008; 22: 31-72.
22. Heckman JJ, Ichimura H, Todd PE. Matching as an econometric evaluation estimator: evidence from evaluating a job training programme. Rev Econ Stud 1997; 64: 605-54.
23. Leuven E, Sianesi B. PSMATCH2: Stata module to perform full Mahalanobis and propensity score matching, common support graphing, and covariate imbalance testing. Chestnut Hill, MA: Boston College, 2003 (https://ideas .repec .org/c/boc/bocode/s432001 .html).
24. Ryan AM, Burgess JF Jr, Dimick JB. Why we should not be indifferent to specification choices for difference-in-differences. Health Serv Res 2015; 50: 1211-35.
25. Bertrand M, Duflo E, Mullainathan S. How much should we trust differencesin-differences estimates? Q J Econ 2004; 119: 249-75.
26. Stata statistical software: release 14. College Station, TX: StataCorp, 2015.
27. Zuckerman RB, Sheingold SH, Orav EJ, Ruhter J, Epstein AM. Readmissions, observation, and the hospital readmissions reduction program. N Engl J Med 2016; 374: 1543-51.
28. Tversky A, Kahneman D. Loss aversion in riskless choice: A reference-dependent model. Q J Econ 1991; 106: 1039-61.
29. Doran T, Maurer KA, Ryan AM. Impact of provider incentives on quality and value of health care. Annu Rev Public Health 2017; 38: 449-65.
30. Kontopantelis E, Doran T, Springate DA, Buchan I, Reeves D. Regression based quasi-experimental approach when randomisation is not an option: interrupted time series analysis. BMJ 2015; 350: h2750.