Empirical literature analyzing the effect of pay-for-performance programs (P4P) for healthcare providers on maternal care and newborn health outcomes is scarce. In 2008, Uruguay’s Ministry Public Health implemented a P4P called Metas Asistenciales (Healthcare Goals), country-wide program that grants an economic incentive complying with certain goals. organizations use these funds to provide chi...

The care of Americans with severe chronic illnesses is disorganized, unnecessarily costly, and undisciplined by sound clinical science. The federal government should invest in a crash program to improve the scientific basis of managing chronic illness, and the Centers for Medicare and Medicaid Services (CMS) should extend its pay-for-performance (P4P) agenda to ensure that within ten years all ...

HCO: Health Care Organizations; PPACA: Patient Protection and Affordable Care Act; AHH: ACME Hospital Healthcare; P4P: Pay-for-Performance; FFS: Fee-for-Service; CMS: Centers for Medicare and Medicaid Services; AMI: Acute Myocardial Infarction; HF: Heart Failure; IOM: Institution of Medicine; IS: Information System; BI: Business Intelligence; NHIN: National Health Information Network; CDR: Clin...

BACKGROUND Outpatient care facilities provide a variety of basic healthcare services to individuals who do not require hospitalisation or institutionalisation, and are usually the patient's first contact. The provision of outpatient care contributes to immediate and large gains in health status, and a large portion of total health expenditure goes to outpatient healthcare services. Payment meth...

BACKGROUND Payment for performance (P4P) strategies, which provide financial incentives to health workers and/or facilities for reaching pre-defined performance targets, can improve healthcare utilisation and quality. P4P may also reduce inequalities in healthcare use and access by enhancing universal access to care, for example, through reducing the financial barriers to accessing care. Howeve...

The pace of organisational change within the National Health Service over the last two decades has been bewildering. Yet for all that, the rituals and routines of day-today general practice have seemed to endure without significant alteration. By contrast, the impact of the Quality and Outcomes Framework (QOF) has, arguably, exceeded that of any other policy development since the Family Doctors...

We study physicians’ incentives to use personalised medicine techniques, replicating the physician’s trade-offs under option of information. In a laboratory experiment conducted in two French Universities, prospective physicians played real-effort game. vary both information structure (free access versus paid information) and payment scheme (pay-for-performance (P4P), capitation (CAP) fee-for-s...