Moneyball in Medicare

Journal of Health Economics

Volumn 61, Issue , 2018, Pages 259-273

  Norton, Edward C ^a   Li, Jun ^a   Das, Anup ^a   Chen, Lena M ^a  

^a NATIONAL BUREAU OF ECONOMIC RESEARCH   (United States)

Author keywords

Incentives; Integrated care; Medicare; Pay for performance; Value based purchasing

Indexed keywords

HEALTH INSURANCE; HOSPITAL SECTOR; INCENTIVE; SERVICE QUALITY;

HUMAN; MEDICARE; PURCHASING; REIMBURSEMENT; SAFETY NET HOSPITAL; ECONOMICS; EPIDEMIOLOGY; HEALTH CARE QUALITY; HOSPITAL MORTALITY; INTEGRATED HEALTH CARE SYSTEM; MICHIGAN; ORGANIZATION AND MANAGEMENT; STATISTICAL MODEL; TOTAL QUALITY MANAGEMENT; UNITED STATES;

UNITED STATES;

DELIVERY OF HEALTH CARE, INTEGRATED; HOSPITAL MORTALITY; HUMANS; MEDICARE; MICHIGAN; MODELS, STATISTICAL; QUALITY IMPROVEMENT; QUALITY OF HEALTH CARE; REIMBURSEMENT MECHANISMS; REIMBURSEMENT, INCENTIVE; UNITED STATES; VALUE-BASED PURCHASING;

EID: 85027532155     PISSN: 01676296     EISSN: 18791646     Source Type: Journal    
DOI: 10.1016/j.jhealeco.2017.07.006     Document Type: Article

References (19)

1. Burwell, S.M., Setting value-based payment goals – HHS efforts to improve U.S. health care. N. Engl. J. Med. 372:10 (2015), 897–899.
2. Centers for Medicare & Medicaid Services, Frequently Asked Questions Hospital Value-based Purchasing Program. 2012.
3. Centers for Medicare & Medicaid Services, Federal Register, Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and fiscal year 2013 rates; hospitals’ resident caps for graduate medical education payment purposes; quality reporting requirements for specific providers and for ambulatory surgical centers. Final Rule 77 (2012), 53257–53750.
4. Centers for Medicare & Medicaid Services, Hospital Value-based Purchasing Program Fact Sheet. 2013.
5. Centers for Medicare & Medicaid Services, National Provider Call: Hospital Value-based Purchasing. 2013.
6. Chatterjee, P., Joynt, K.E., Do cardiology quality measures actually improve patient outcomes?. J. Am. Heart Assoc., 3(1), 2014.
7. Chen, C., Ackerly, D., Beyond ACOs and bundled payments: Medicare's shift toward accountability in fee-for-service. J. Am. Med. Assoc. 311:7 (2014), 673–674.
8. Das, A., Norton, E.C., Miller, D.C., Chen, L.M., Spending in the post-acute care setting accounts for a sizeable portion of spending associated with a hospitalization episode. J. Am. Med. Assoc. Intern. Med. 176:1 (2016), 117–119.
9. Das, A., Norton, E.C., Miller, D.C., Ryan, A.M., Birkmeyer, J.D., Chen, L.M., Adding a spending metric to Medicare's value-based purchasing program rewarded low-quality hospitals. Health Aff. (Millwood) 35:5 (2016), 898–906.
10. Figueroa, J.F., Tsugawa, Y., Zheng, J., Orav, E.J., Jha, A.K., Association between the value-based purchasing pay for performance program and patient mortality in US hospitals: observational study. BMJ, 353, 2016, i2214.
11. Fryer, R.G., Teacher incentives and student achievement: evidence from New York City public schools. J. Labor Econ. 31:2 (2013), 373–407.
12. Gilman, M., Adams, E.K., Hockenberry, J.M., Wilson, I.B., Milstein, A.S., Becker, E.R., California safety-net hospitals likely to be penalized by ACA value, readmission, and meaningful-use programs. Health Aff. (Millwood) 33:8 (2014), 1314–1322.
13. Gilman, M., Hockenberry, J.M., Adams, E.K., Milstein, A.S., Wilson, I.B., Becker, E.R., 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. 163:6 (2015), 427–436.
14. Holmstrom, B., Milgrom, P., Multitask principal-agent analyses: incentive contracts, asset ownership, and job design. J. Law Econ. Organ. 7:SI (1991), 24–52.
15. Jacob, B.A., Accountability, incentives and behavior: the impact of high-stakes testing in the Chicago Public Schools. J. Public Econ. 89:5–6 (2005), 761–796.
16. Mohan, A., Grant, J., Batalden, M., McCormick, D., The health of safety net hospitals following Massachusetts health care reform; changes in volume, revenue, costs, and operating margins from 2006 to 2009. Int. J. Health Serv. 43 (2013), 321–335.
17. Neal, D., The design of performance pay in education. Handbook of Economics of Education, vol. 4, 2011, Elsevier, North Holland.
18. Quality Net, Medicare Spending Per Beneficiary (MSPB) Measure Overview. 2015.
19. Ryan, A.M., Burgess, J.F. Jr, Pesko, M.F., Borden, W.B., Dimick, J.B., The early effects of Medicare's mandatory hospital pay-for-performance program. Health Serv. Res. 50:1 (2015), 81–97.