The “value” of value based purchasing

Whether performance-based payment improves patient outcomes continues to be controversial. In this large Medicare database analysis, patient outcomes were compared between hospitals participating in the Medicare pay for performance demonstration and those participating in the pay for reporting. Thirty-day mortality and decline in mortality per quarter in patients with AMI, CHF, pneumonia, or CABG were no different between the 2 hospital groups. This adds more cautionary evidence that pay for performance will not have a substantial impact on mortality rates (abstract)

Danielle Scheurer

Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

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