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Friday, March 30, 2012

"Pay For Performance" May Have No Impact On Patient Outcomes.

The National Journal Share to FacebookShare to Twitter (3/29, Fox, Subscription Publication) reports, "One of the planks of the 2010 health care law, paying hospitals to improve the quality of care, doesn't appear to help patients survive any better," according to a study Share to FacebookShare to Twitter published in the New England Journal of Medicine. Investigators "compared two hospital systems over six years – one that took part in the so-called pay for performance plan offered by the Centers for Medicare and Medicaid Services, and one that didn't." Altogether, "more than 6 million patients went through the 3,600 hospitals from 2003 to 2009."
        Modern Healthcare Share to FacebookShare to Twitter (3/29, McKinney, Subscription Publication) reports that the investigators "say they found no significant difference in overall mortality between hospitals that participate in the program and those that don't."
        HealthDay Share to FacebookShare to Twitter (3/29) reports, "The researchers also found no differences in results for conditions specifically targeted by the incentive program, such as heart attack and coronary bypass graft surgery."
        Kaiser Health News Share to FacebookShare to Twitter (3/29, Rau) reports, "In a statement, the Centers for Medicare & Medicaid Services said" that this "demonstration was an effort under the last Administration, separate from the value-based purchasing model that we're implementing into Medicare's hospital payment system. Our model for improving quality in hospitals is much more aggressive, covering all hospitals and including both incentives for hospitals that do well on quality metrics, and consequences for hospitals that do not improve." MedPage Today Share to FacebookShare
to Twitter (3/29, Gever) and Reuters Share to FacebookShare to Twitter (3/29, Krauskopf) also cover the story.

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