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ObjectivesNarrative review of the impact of pay‐for‐performance (P4P) and public reporting (PR) on health care outcomes, including spillover effects and impact on disparities.
Principal FindingsThe impact of P4P and PR is dependent on the underlying payment system (fee‐for‐service, salary, capitation) into which these schemes are introduced. Both have the potential to improve care, but they can also...
ObjectiveThe article examines public policies designed to improve quality and accountability that do not rely on financial incentives and public reporting of provider performance.
Principal FindingsPayment policy should help temper the current “more is better” attitude of physicians and provider organizations. Incentive neutrality would better support health professionals’ intrinsic motivation to...
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