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Value-based purchasing: the evidence.
Am J Manag Care. 2011 Aug 01; 17(8):e310-3.AJ

Abstract

OBJECTIVE

This report presents evidence about "what works" in value-based purchasing strategies emphasized in national healthcare reform legislation, with a focus on service delivery integration, payment, and value-based insurance design. We review key findings to address the question: What is the evidence that a value-based strategy will improve health outcomes or reduce healthcare costs?

STUDY DESIGN

This report is a review of peer-reviewed and field-based research associated with several value-based strategies purchasers can use to increase value in their healthcare market decision making: Accountable Care Organizations, Patient Centered Medical Homes, bundled payment methods and incentives, and value-based insurance designs.

METHODS

Environmental scans and evidence reviews of value-based purchasing were conducted to inform this report.

RESULTS

Many value-based approaches are new to the healthcare arena, and evidence of performance in improving health outcomes or reducing healthcare costs is limited but increasing as experience with these approaches grows.

CONCLUSIONS

Purchasers should be aware that evidence is contingent on market environment and study assumptions in considering specific strategies, and be cautious implementing them. The need for a new measurement paradigm for cost and quality that reaches across the care continuum is evident.

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Authors+Show Affiliations

Eldridge GN
Altarum Institute, Systems Research and Initiatives, Portland, ME 04102, USA.
Korda H
No affiliation info available

MeSH

Health Care CostsHealth Care ReformHealth Services Needs and DemandHumansInsurance, HealthUnited States

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21851138

Citation

Eldridge, Gloria N., and Holly Korda. "Value-based Purchasing: the Evidence." The American Journal of Managed Care, vol. 17, no. 8, 2011, pp. e310-3.
Eldridge GN, Korda H. Value-based purchasing: the evidence. Am J Manag Care. 2011;17(8):e310-3.
Eldridge, G. N., & Korda, H. (2011). Value-based purchasing: the evidence. The American Journal of Managed Care, 17(8), e310-3.
Eldridge GN, Korda H. Value-based Purchasing: the Evidence. Am J Manag Care. 2011 Aug 1;17(8):e310-3. PubMed PMID: 21851138.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Value-based purchasing: the evidence. AU - Eldridge,Gloria N, AU - Korda,Holly, Y1 - 2011/08/01/ PY - 2011/8/20/entrez PY - 2011/8/20/pubmed PY - 2012/1/19/medline SP - e310 EP - 3 JF - The American journal of managed care JO - Am J Manag Care VL - 17 IS - 8 N2 - OBJECTIVE: This report presents evidence about "what works" in value-based purchasing strategies emphasized in national healthcare reform legislation, with a focus on service delivery integration, payment, and value-based insurance design. We review key findings to address the question: What is the evidence that a value-based strategy will improve health outcomes or reduce healthcare costs? STUDY DESIGN: This report is a review of peer-reviewed and field-based research associated with several value-based strategies purchasers can use to increase value in their healthcare market decision making: Accountable Care Organizations, Patient Centered Medical Homes, bundled payment methods and incentives, and value-based insurance designs. METHODS: Environmental scans and evidence reviews of value-based purchasing were conducted to inform this report. RESULTS: Many value-based approaches are new to the healthcare arena, and evidence of performance in improving health outcomes or reducing healthcare costs is limited but increasing as experience with these approaches grows. CONCLUSIONS: Purchasers should be aware that evidence is contingent on market environment and study assumptions in considering specific strategies, and be cautious implementing them. The need for a new measurement paradigm for cost and quality that reaches across the care continuum is evident. SN - 1936-2692 UR - https://www.unboundmedicine.com/medline/citation/21851138/Value_based_purchasing:_the_evidence_ L2 - https://www.ajmc.com/pubMed.php?pii=50535 DB - PRIME DP - Unbound Medicine ER -