Impact of Financial Incentives for Prenatal Care on Birth Outcomes and Spending

Rosenthal, Meredith B.; Li, Zhonghe; Robertson, Audra D.; Milstein, Arnold

doi:10.1111/j.1475-6773.2009.00996.x

Cited by 31 publications

(33 citation statements)

References 16 publications

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“…Similar empirical evidence is presented by Young et al (2007), Glickman et al (2007), Rosenthal et al (2009) and Campbell et al (2009). Young et al (2007 show that a U.S. P4P scheme financed via withholds leads to a modest improvement in one of four quality measures for diabetic patients.…”

Section: Literature Reviewsupporting

confidence: 68%

“…The rate of improvement in in-hospital mortality, however, does not differ significantly for participating and non-participating hospitals. Rosenthal et al (2009) document that a US$ 100 bonus for (both patients seeking and providers providing) timely and comprehensive prenatal care is found to reduce the probability of neonatal intensive care unit admissions and associated with lower healthcare spending in the first year of life. Participation in the scheme, however, is reported to have no significant effect on low birth weight.…”

Section: Literature Reviewmentioning

confidence: 99%

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Money Talks - Paying Physicians for Performance

2013

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Section: Literature Reviewsupporting

confidence: 68%

Section: Literature Reviewmentioning

confidence: 99%

Money Talks - Paying Physicians for Performance

2013

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“…E VER SINCE THE PUBLICATION OF ORAL HEALTH in America: A Report of the Surgeon General 1 brought the epidemic of early childhood caries (ECC) into focus, those concerned with the health of children have sought ways to understand and address this most common of childhood infections. 6 Much of what we do know about the challenges of a professional practice culture shift such as this we owe to the North Carolina group whose most recent study 7 is the subject of this editorial. 2 Since the surgeon general's report, we have gained a better understanding of the effects of ECCrelated pain, 3 its functional consequences on learning, 4 and even its association with the toxic stresses in the life course of many poor children.…”

Section: Comparative Effectiveness Researchmentioning

confidence: 99%

“…First, large gaps in our understanding of the effectiveness of P4P strategies persist even though the number of stakeholders and the circumstances in which P4P tactics are being used continue to proliferate rapidly. 2,6,7 However, only 1 study has attempted to empirically examine whether this payment strategy is effective at improving care quality for children with special health care needs. 2,5 There is also considerable variation in P4P program design and numerous questions about how to structure P4P programs so that they will yield desired health outcomes.…”

mentioning

confidence: 99%

Can Pay for Performance Improve the Quality of Adolescent Substance Abuse Treatment?

Chien¹

2012

Arch Pediatr Adolesc Med

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“…[5][6][7][8][9][10][11][12] This disagreement in evidence has been attributed to varying levels of methodological rigor. Indeed, the deceptively simple ratio that underpins value health involves a multidimensionality that makes measuring its true impact on cost-effectiveness far from transparent.…”

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confidence: 99%

The Cost-Effectiveness of Pay-for-Performance

Russ-Sellers¹

2015

Medical Care

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T here is considerable dialogue in the clinical and health policy community concerning the implementation of value-based care, 1,2 defined by the ratio of health outcomes to dollar spent and operationalized by payment models that link quality metrics to reimbursement, such as bundled payment for episodes of care or pay for performance, the focus of this issue's article by Hsieh et al. 3 For those of us engaged in medical practice or its scientific study, these are familiar but concerning ideas, because this set of top-down theories does not always translate well to the real-world clinical environments and patient populations that they are purported to support. Indeed, the deceptively simple ratio that underpins value health involves a multidimensionality that makes measuring its true impact on cost-effectiveness far from transparent.Consider, for example, studies focused on the cost-effectiveness of pay for performance. Such studies are of increasing importance as the incentives are now linked to provider performance on quality benchmarks deployed by the Centers for Medicare and Medicaid Services (CMS) by requirements of the 2010 Patient Protection and Affordable Care Act (PPACA). 4 Achievement of the quality metrics associated with processes of care and health outcomes drives reimbursement; therefore, critical operating margins for practices and systems are at risk. Because understanding the association between incentives and the cost and quality of care delivery is essential to current medical practice survival, it provides an opportunity to think through how we might creatively investigate this question to provide a realistic underpinning for policy implementation going forward.To date, pay-for-performance studies demonstrate inconsistency in their findings whether relating to the association between pay-for-performance and process and intermediate outcomes or to the linkage between incentive strategies and cost-effectiveness. [5][6][7][8][9][10][11][12] This disagreement in evidence has been attributed to varying levels of methodological rigor. 13 Despite the lack of a firm understanding of impact, health systems are now engaged in the rollout of payment strategies proposed to support value-based care in the absence of definitive research, indicating that providers can both maximize the utilization of health resources as well as improve the quality of health outcomes.Hsieh and colleagues examine these questions by pay-for-performance reimbursement strategies implemented in Taiwan's National Health Insurance Program. In their article, the authors describe the care context of the policy implementation and its evolution as it relates to process measures, and then present evidence on the intermediate and long-term health outcomes. Of particular note, pay-for-performance is analyzed in terms of its effects on quality-adjusted life years, a linkage few US-based studies have included. The authors provide a 2-stage analysis of the evolution of Taiwan's incentive program: a 2001 diabetes pay-for-performance design th...

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Impact of Financial Incentives for Prenatal Care on Birth Outcomes and Spending

Abstract: The use of patient and physician incentives may be an effective mechanism for improving use of recommended prenatal care and associated outcomes, particularly among low-income women.

Cited by 31 publications

References 16 publications

Money Talks - Paying Physicians for Performance

Money Talks - Paying Physicians for Performance

Can Pay for Performance Improve the Quality of Adolescent Substance Abuse Treatment?

The Cost-Effectiveness of Pay-for-Performance

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