Impact of Provider Incentives on Quality and Value of Health Care

Timothy Doran; Kristin A Maurer; Andrew M Ryan

doi:10.1146/annurev-publhealth-032315-021457

Impact of Provider Incentives on Quality and Value of Health Care

Timothy Doran, Kristin A Maurer, Andrew M Ryan

Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

The use of financial incentives to improve quality in health care has become widespread. Yet evidence on the effectiveness of incentives suggests that they have generally had limited impact on the value of care and have not led to better patient outcomes. Lessons from social psychology and behavioral economics indicate that incentive programs in health care have not been effectively designed to achieve their intended impact. In the United States, Medicare's Hospital Readmission Reduction Program and Hospital Value- Based Purchasing Program, created under the Affordable Care Act (ACA), provide evidence on how variations in the design of incentive programs correspond with differences in effect. As financial incentives continue to be used as a tool to increase the value and quality of health care, improving the design of programs will be crucial to ensure their success. Expected final online publication date for the Annual Review of Public Health Volume 38 is March 20, 2017. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

Original language	English
Number of pages	17
Journal	Annual Review of Public Health
Volume	38
Issue number	7
Early online date	20 Mar 2017
DOIs	https://doi.org/10.1146/annurev-publhealth-032315-021457
Publication status	E-pub ahead of print - 20 Mar 2017

Bibliographical note

Keywords

Journal Article

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Cite this

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