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Health Services Research back issues
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Filling the gaps between performance incentive programs and health care quality improvement.(Editorial)
June 1, 2009... Restructuring payment policies through performance incentive programs to explicitly promote improvements in the quality and value of health care has become a popular strategy for public and private health care payers. But our measures of quality are less than comprehensive, and current...
A systematic review of health care efficiency measures.(Health Care Efficiency)(Report)
June 1, 2009... Rising health care costs are driving increases in health insurance premiums, the erosion of private coverage (Chernew, Cutler, and Keenan 2005), and strains on the fiscal solvency of public insurance programs (Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary...
Commentary: a systematic review of health care efficiency measures.(DEBATE/COMMENTARY)
June 1, 2009... Frustration with high costs and poor quality in American health care led private sector purchasers of health care benefits to form our organization, The Leapfrog Group, in 2000. Purchasers use Leapfrog to translate and then deploy the most important evidence about the levers that improve...
Commentary: slack resources in health care organizations--fat to be trimmed or muscle to be exercised?(DEBATE/COMMENTARY)
June 1, 2009... In this issue, Hussey et al. (2009) at RAND summarize their results of a systematic review of ways to identify and evaluate health care efficiency. Their approach was deliberately broadly inclusive in that they did not require that the studies reviewed simultaneously measure quality as well...
Effects of the Premier hospital quality incentive demonstration on Medicare patient mortality and cost.(Quality and Performance)(Report)
June 1, 2009... A solution proposed to address the quality and cost problems plaguing health care in the United States is pay-for-performance (P4P), where health care organizations and physicians are compensated not only for what they do, but whether their actions conform to quality standards or result in...