Improving Evaluations of Value-Based Purchasing Programs

Value-based purchasing of medical devices.

BACKGROUND Health care in the United States is known for its continued innovation and production of new devices and techniques. While the intention of these devices is to improve the delivery and outcome of patient care, they do not always achieve this goal. As new technologies enter the market, hospitals and physicians must determine which of these new devices to incorporate into practice, and...

Introducing Value-Based Purchasing into TRICARE Reform.

TRICARE, the health benefits program created for beneficiaries of the U.S. Department of Defense, covers health care provided in military treatment facilities and by civilian providers. Congress is now considering how to update TRICARE, which was first developed in the 1980s drawing on managed care concepts from civilian health plans. This article places TRICARE's current managed care strategy ...

Valuing improvement in value-based purchasing.

BACKGROUND Medicare will soon implement hospital value-based purchasing (VBP) using a scoring system that rewards both achievement (absolute performance) and improvement (performance increase over time). However, improvement is defined so as to give less credit to initial low performers than initial high performers. Because initial low performers are disproportionately hospitals in socioeconomi...

Measuring Success in Health Care Value-Based Purchasing Programs: Summary and Recommendations

MOVING TOWARD VALUE-BASED PURCHASING PROGRAMS FOR VULNERABLE POPULATIONS: IMPLEMENTATION ISSUES FROM THE PROVIDER PERSPECTIVE Introduction

This new paper is a follow-up to the Kodner paper I circulated a few weeks ago called Value-Based Purchasing in Health Care: Strategic Implications for Vulnerable Populations. In the companion paper we point out that individuals in vulnerable population groups (and their family caregivers) face numerous obstacles in coping with their conditions on an ongoing basis, accessing a wide array of ser...